Tandra Lamikia Simmons

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

License

689678296 Issued in FL

Practice address

901 NW 8TH Ave Ste A2
Gainesville, FL 32601-5000

Phone

(352) 258-3450

Fax

(352) 379-5502

NPI assigned

Jun 7, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Nettie Mae Berry Foundation LLC

  • Developmentally Disabled Services Day Training Agency
  • Gainesville, FL
  • NPI 1942927694

  Case Management

  NPD Authorized official
• Nettie'S Love & Care LLC

  • Home Health Agency
  • Gainesville, FL
  • NPI 1114486156
  NPD Authorized official

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

{
    "created_epoch": "1370563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666569600000",
    "number": "1912345372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 358774",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326358774",
            "telephone_number": "352-258-3450",
            "fax_number": "352-373-7818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 NW 8TH AVE STE A2",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326015000",
            "telephone_number": "352-258-3450",
            "fax_number": "352-379-5502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "TANDRA",
        "middle_name": "LAMIKIA",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-06-07",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "FL",
            "license": "689678296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80-0388997",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "689678296",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christine Leigh Simmons, APRN, FNP-BC
• Kimberly Ann Simmons
• Michelle Elaine Simmons, LCSW
• Samathan Lee Simmons
• Tammy Laverne Simmons
• Tierra Janay Simmons, MD
• Timothy Simmons
• Vivian Simmons, PT
• W. Bradley Simmons, MD
• Raven Simms, RD

• Developmentally Disabled Services Day Training Agency in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Developmentally Disabled Services Day Training Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.