James Eric Simmermon, RN

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

148845 Issued in TN

Practice address

1985 Berry Hollow CV
Cordova, TN 38016-8532

Phone

(901) 487-0000

NPI assigned

May 3, 2010

Last updated

May 3, 2010By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1272844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272844800000",
    "number": "1891012639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3251",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380883251",
            "telephone_number": "901-487-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1985 BERRY HOLLOW CV",
            "city": "CORDOVA",
            "state": "TN",
            "postal_code": "380168532",
            "telephone_number": "901-487-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMERMON",
        "first_name": "JAMES",
        "middle_name": "ERIC",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-03",
        "last_updated": "2010-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TN",
            "license": "148845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Registered Nurse in Cordova, TN
• Providers in Cordova, TN by specialty
• Registered Nurse in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.