Active NPI 1558249953 Individual Practitioner Female Practitioner

Tanisha Ann Simmons

Driver • Goodyear, AZ

Professional Overview & Biography Verified Profile Summary

Tanisha Simmons is a registered healthcare professional specializing in Driver in Goodyear, AZ. Practice services are available at 614 E CALLE CHULO RD under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

614 E Calle Chulo Rd

Goodyear, AZ 853381006

Telephone 2192906662

Associated Practice Facility / Clinic

🏢 Msj Elite Services Llc Facility NPI 1144186958

Specialty Benchmarks & Practice Insights

Comparative analytics for Driver in Goodyear, AZ

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 10.2 Yrs

Regional Practice Density

4 Specialists

Practicing in Goodyear, AZ (109 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-08-24

Driver Primary Specialty

NUCC Taxonomy Code: 172A00000X

State License IN 21619565

A person employed to operate a motor vehicle as a carrier of persons or property.

Technician - Personal Care Attendant

NUCC Taxonomy Code: 3747P1801X

State License AZ 21619565

An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active August 25, 2025

NPI status registered as active in NPPES database

📍

Updated Practice Location August 25, 2025

Registered at 614 E CALLE CHULO RD, GOODYEAR, AZ 853381006 (Tel: 2192906662)

📍

Updated Business Mailing Address August 25, 2025

Registered at 614 E CALLE CHULO RD, GOODYEAR, AZ 853381006 (Tel: 2192906662)

👤

Provider Name / Credentials Updated August 25, 2025

Recorded as TANISHA SIMMONS

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) August 25, 2025

Technician (License #21619565 in AZ)

🟢

Initial NPI Registration & Enumeration August 25, 2025

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1558249953

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: August 25, 2025

Last Update: August 25, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

614 E Calle Chulo Rd

Goodyear, AZ 853381006

Phone: 2192906662

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.