Provider Demographics
NPI:1215721956
Name:SIMPSON, VANISHA
Entity type:Individual
Prefix:
First Name:VANISHA
Middle Name:
Last Name:SIMPSON
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11919 SYCAMORE AVE
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-1345
Mailing Address - Country:US
Mailing Address - Phone:402-779-9995
Mailing Address - Fax:
Practice Address - Street 1:11919 SYCAMORE AVE
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-1345
Practice Address - Country:US
Practice Address - Phone:402-779-9995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-07
Last Update Date:2025-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty