Provider Demographics
NPI:1346613346
Name:SIMPKINS, EMMA JANE (MS, RDN)
Entity Type:Individual
Prefix:
First Name:EMMA
Middle Name:JANE
Last Name:SIMPKINS
Suffix:
Gender:F
Credentials:MS, RDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16042 CRAIG ST
Mailing Address - Street 2:
Mailing Address - City:BASEHOR
Mailing Address - State:KS
Mailing Address - Zip Code:66007-7706
Mailing Address - Country:US
Mailing Address - Phone:971-808-7772
Mailing Address - Fax:
Practice Address - Street 1:16042 CRAIG ST
Practice Address - Street 2:
Practice Address - City:BASEHOR
Practice Address - State:KS
Practice Address - Zip Code:66007-7706
Practice Address - Country:US
Practice Address - Phone:971-808-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-12
Last Update Date:2023-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered