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QUANIKA SHUNTAAYE SIMPSON-JACKSON MD
NPI 1114400637
Emergency Medicine - Emergency Medical Services in Phoenix, AZ

Active since September 11, 2018
202 E EARLL DR STE 360, PHOENIX, AZ 85012(602) 698-8261 Get Directions Write a Review

NPPES record last updated: July 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 28, 2020, Mar 12, 2019, Sep 11, 2018 (3 updates tracked since 2018).

About Quanika Shuntaaye Simpson-jackson Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUANIKA SHUNTAAYE SIMPSON-JACKSON MD (NPI 1114400637) is an individual emergency medical services provider in Phoenix, Arizona, licensed in Nevada (51627-AO-0) and active in the NPI registry since September 2018. She maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114400637
Entity TypeIndividualFemale
Primary Taxonomy207PE0004X
Provider Legal NameQUANIKA SHUNTAAYE SIMPSON-JACKSONCredential: MD
Location Address202 E EARLL DR STE 360Phoenix, AZ 85012-2677
Mailing Address5060 N 19th Ave Ste 300-28Phoenix, AZ 85015-3210 · (602) 698-8261
Phone(602) 698-8261
Sole ProprietorNo
Enumeration DateSeptember 11, 2018
Last NPPES UpdateJuly 28, 20203 updates tracked since enumeration
NPPES CertifiedJuly 28, 2020
✔ NPI 1114400637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians
Taxonomy Code207PE0004X
License✔ Licensed in NV · 51627-AO-0
Definition
An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.
202 E EARLL DR STE 360, Phoenix, AZ 85012
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Secondary Practice Locations 2

Location 15060 N 19th Ave Ste 300-28Phoenix, AZ 85015-3210 · Phone (602) 698-8261
Location 22020 Pinto LnLas Vegas, NV 89106-4019 · Phone (702) 417-4702

Other Identifiers 1

Medicaid8389PCS0NV

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KENDRA ANN SCOTT DPT
Physical Therapist
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
JAVIER OMAR YEPIZ PA
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
REFLECTION HEALTH SERVICES L.L.C.
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 698-8261
MR. JORDAN SCHENK PA-C
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
MS. LAURA ELIZABETH FOX PA-C
Physician Assistant
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (602) 264-4431
KIUP ALEXANDER KIM MD, RPVI
Surgery (Vascular Surgery)
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
ADVANCED MINIMALLY INVASIVE SURGICAL
Surgery
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621
SOB523T
Family Medicine
202 E EARLL DR STE 360
PHOENIX, AZ 85012
Maricopa County (480) 788-5621

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quanika Simpson-jackson's NPI number?

The NPI number for Quanika Simpson-jackson is 1114400637. It was assigned to this individual provider in the NPPES registry on September 11, 2018.

Where is Quanika Simpson-jackson located?

Quanika Simpson-jackson practices at 202 E Earll Dr Ste 360, Phoenix, AZ 85012. The listed phone number is (602) 698-8261.

What is Quanika Simpson-jackson's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

When was this NPI record last updated?

The NPPES record for Quanika Simpson-jackson was last updated on July 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.