KHADIJAH LATISSE THERESA SIMMONDS CNA
NPI 1518326446
Nurse's Aide in Newburgh, NY

Active since February 20, 2016
159 JOHNSTON ST, NEWBURGH, NY 12550(845) 219-8402 Get Directions Write a Review

NPPES record last updated: February 20, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Khadijah Latisse Theresa Simmonds Cna NPPES

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

KHADIJAH LATISSE THERESA SIMMONDS CNA (NPI 1518326446) is an individual nurse's aide in Newburgh, New York, licensed in New York (343272180612E) and active in the NPI registry since February 2016.

NPPES Registry Identity

NPI1518326446
Entity TypeIndividualFemale
Primary Taxonomy376K00000X
Provider Legal NameKHADIJAH LATISSE THERESA SIMMONDSCredential: CNA
Location Address159 JOHNSTON STNewburgh, NY 12550-4523
Mailing Address159 Johnston StNewburgh, NY 12550-4523 · (845) 219-8402
Sole ProprietorNo
Enumeration DateFebruary 20, 2016
NPI 1518326446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse's AideNursing Service Related Providers
Taxonomy Code376K00000X
License Licensed in NY · 343272180612E
Definition
(1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work.
159 JOHNSTON ST, Newburgh, NY 12550

Other Names 1

Former Name (1)Khadijah Latisse Theresa Simmonds Cna

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
159 JOHNSTON ST
NEWBURGH, NY 12550

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 Khadijah Simmonds's NPI number?

The NPI number for Khadijah Simmonds is 1518326446. It was assigned to this individual provider in the NPPES registry on February 20, 2016. The provider is also known as Khadijah Latisse Theresa Simmonds Cna.

Where is Khadijah Simmonds located?

Khadijah Simmonds practices at 159 Johnston St, Newburgh, NY 12550. The listed phone number is (845) 219-8402.

What is Khadijah Simmonds's specialty?

The primary specialty registered for this NPI is Nurse's Aide with taxonomy code 376K00000X.

When was this NPI record last updated?

The NPPES record for Khadijah Simmonds was last updated on February 20, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.