Dana Simmons

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

105234 Issued in SC

Practice address

221 Saint James Ave Ste 13a
Goose Creek, SC 29445-3270

Phone

(843) 793-2588

NPI assigned

Aug 19, 2022

Last updated

Aug 19, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dana Simmons Coaxum Other name

Electronic endpoints 1

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Divine Care at Home

  • Home Health Aide
  • Goose Creek, SC
  • NPI 1326769639
  NPD Authorized official

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

{
    "created_epoch": "1660867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660867200000",
    "number": "1972221570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 SAINT JAMES AVE STE 13A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453270",
            "telephone_number": "843-793-2588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 SAINT JAMES AVE STE 13A",
            "city": "GOOSE CREEK",
            "state": "SC",
            "postal_code": "294453270",
            "telephone_number": "843-793-2588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "DANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-19",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "SC",
            "license": "105234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VETERAN",
            "identifier": "NONE",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "divinecareathome",
            "affiliation": "N",
            "endpointDescription": "homecare",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "in home care",
            "address_1": "221 Saint James Ave Ste 13A",
            "city": "Goose Creek",
            "state": "SC",
            "country_code": "US",
            "postal_code": "294453270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DANA",
            "last_name": "SIMMONS COAXUM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Amanda Shelly
• Windi Sheltra
• Stacy Nicole Sherbutt, RDH
• Robert Michael Shouse
• Laura Terese Shute
• Kerry Lynn Simmons, DPT
• Kimberly Marie Simmons, M.S. CCC-SLP
• Michelle S Simmons
• Theresa E Simmons
• Kaitlin Sandra Simonides

• Nurse's Aide in Goose Creek, SC
• Providers in Goose Creek, SC by specialty
• Nurse's Aide in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.