Active NPI
Katrice Simmons, SPECIMEN COLLECTOR
- Health & Wellness Coach
- Forest Park, GA
National Provider Identifier
1992616718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health & Wellness Coach
- Practice address
- 4983 Jonesboro Rd
Forest Park, GA 30297-3551 - Phone
- (678) 281-5443
- NPI assigned
- Sep 14, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health & Wellness Coach | 171400000X | Primary |
Addresses
Primary practice location
4983 Jonesboro Rd
Forest Park, GA 30297-3551
Mailing address
4983 Jonesboro Rd
Forest Park, GA 30297-3551
Phone (678) 281-5443
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1992616718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4983 JONESBORO RD",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302973551",
"telephone_number": "678-281-5443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4983 JONESBORO RD",
"city": "FOREST PARK",
"state": "GA",
"postal_code": "302973551",
"telephone_number": "678-281-5443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "KATRICE",
"credential": "SPECIMEN COLLECTOR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "171400000X",
"taxonomy_group": "",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Forest Park, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.