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KENYAWN JUDEA SIMMONS NPI 1265659247


NPI Information

NPI: 1265659247
Provider Name: KENYAWN JUDEA SIMMONS
Classification: Licensed Practical Nurse - 164W00000X
Entity Type: Individual
Address:
1261 WEATHERVANE LN APT 3D
AKRON, OH
ZIP 44313
Phone: (330) 808-3201
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Kenyawn Judea Simmons is a licensed practical nurse in Akron, OH. The provider is an individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. Kenyawn Judea Simmons NPI is 1265659247. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1261 WEATHERVANE LN APT 3D
AKRON, OH
ZIP 44313-170
Phone: (330) 808-3201

The enumeration date for this NPI number is 4/19/2007 and was last updated on 11/5/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1164W00000XLicensed Practical NursePN.125388OHIOYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12723673MEDICAIDOHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.