Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

ANTAIJAH SIMON
NPI 1164337572
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Q: What is Antaijah Simon's NPI number?

The NPI number for Antaijah Simon is 1164337572. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Q: What is Antaijah Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Antaijah Simon was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.

Active since August 18, 2026

2100 E KENWOOD BLVD, MILWAUKEE, WI 53211(414) 229-2222 Get Directions Write a Review

NPPES record added: August 18, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Antaijah Simon NPPES

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

ANTAIJAH SIMON (NPI 1164337572) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since August 2026.

NPPES Registry Identity

NPI1164337572

Entity TypeIndividual

Primary Taxonomy390200000X

Provider Legal NameANTAIJAH SIMON

Location Address2100 E KENWOOD BLVDMilwaukee, WI 53211-3358

Mailing Address2100 E Kenwood BlvdMilwaukee, WI 53211-3358 · (414) 229-2222

Phone(414) 229-2222

Sole ProprietorNo

Enumeration DateAugust 18, 2026

NPPES CertifiedAugust 18, 2026

✔ NPI 1164337572 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2100 E KENWOOD BLVD, Milwaukee, WI 53211

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Other Providers at the Same Location NPPES

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

SAMANTHA RILEY KRUK

Physical Therapist

2100 E KENWOOD BLVD
MILWAUKEE, WI 53211

Milwaukee County (414) 229-6569

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 Antaijah Simon's NPI number?

The NPI number for Antaijah Simon is 1164337572. It was assigned to this individual provider in the NPPES registry on August 18, 2026.

Where is Antaijah Simon located?

Antaijah Simon practices at 2100 E Kenwood Blvd, Milwaukee, WI 53211. The listed phone number is (414) 229-2222.

What is Antaijah Simon's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Antaijah Simon was last updated on August 18, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days 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.