QUANIKA S. SIMPSON-JACKSON MD – NPI #1114400637
Emergency Medicine

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.

QUANIKA SIMPSON-JACKSON is a physician located in PHOENIX, AZ. NPPES has assigned the NPI number 1114400637 to QUANIKA SIMPSON-JACKSON on September 11, 2018. It is a Type-1 NPI, indicating this NPI number is associated with an individual. According to the NPI data, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 207PE0004X from the Health Care Provider Taxonomy code set, which is classified as Emergency Medicine, specializing in Emergency Medical Services

The NPI profile was previously updated about 6 years ago on Jul 28, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for QUANIKA SIMPSON-JACKSON below.

NPI Profile for
QUANIKA S. SIMPSON-JACKSON

NPI Number
1114400637
Enumeration Date

(more than 7 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
QUANIKA S. SIMPSON-JACKSON
Credentials
MD
Primary location
202 E EARLL DR STE 360
PHOENIX, AZ 85012-2677
Phone: (602) 698-8261 Fax:
2 Other location(s):
5060 N 19th Ave Ste 300-28
Phoenix, AZ 85015-3210
Phone: (602) 698-8261
2020 Pinto Ln
Las Vegas, NV 89106-4019
Phone: (702) 417-4702
Mailing address
5060 N 19TH AVE STE 300-28
PHOENIX, AZ 85015-3210
Phone: (602) 698-8261 Fax:
Sole Proprietor
No
Updated
Certification Date
Jul 28, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for QUANIKA SIMPSON-JACKSON

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDNV8389PCS0
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207PE0004X
- Emergency Medicine / Emergency Medical Services (Primary)
NV 51627-AO-0

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.