Active NPI
Jenna Delove Simmons, RN
- Registered Nurse
- Maple Heights, OH
National Provider Identifier
1942913231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 543756
- Practice address
- 5201 Clement Ave
Maple Heights, OH 44137-1321 - Phone
- (216) 512-9963
- NPI assigned
- Jan 2, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 543756 | OH | Primary |
| Licensed Practical Nurse | 164W00000X | 183548 | OH |
Addresses
Primary practice location
5201 Clement Ave
Maple Heights, OH 44137-1321
Mailing address
5201 Clement Ave
Maple Heights, OH 44137-1321
Phone (216) 512-9963
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 183548 | OH | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1672617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783296000000",
"number": "1942913231",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5201 CLEMENT AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441371321",
"telephone_number": "216-512-9963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5201 CLEMENT AVE",
"city": "MAPLE HEIGHTS",
"state": "OH",
"postal_code": "441371321",
"telephone_number": "216-512-9963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "JENNA",
"middle_name": "DELOVE",
"name_prefix": "Miss",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-01-02",
"last_updated": "2026-07-06",
"certification_date": "2026-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "543756",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "OH",
"license": "183548",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Maple Heights, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.