Provider Demographics
NPI:1477284537
Name:SIMPKINS, CHRISTEN (RDMS)
Entity type:Individual
Prefix:
First Name:CHRISTEN
Middle Name:
Last Name:SIMPKINS
Suffix:
Gender:F
Credentials:RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9 ELLEN DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-1036
Mailing Address - Country:US
Mailing Address - Phone:407-489-3501
Mailing Address - Fax:
Practice Address - Street 1:1291 N CAUSEWAY BLVD STE 4
Practice Address - Street 2:
Practice Address - City:MANDEVILLE
Practice Address - State:LA
Practice Address - Zip Code:70471-3413
Practice Address - Country:US
Practice Address - Phone:985-231-7660
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-20
Last Update Date:2022-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA16724172085U0001X
LA1769202085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound