Joan Fomboh Telazie-Simons · Registered Nurse

310 W Losey St, Scott Air Force Base, IL 62225-5250

Overview

Joan Fomboh Telazie-Simons is a Registered Nurse practicing in Scott Air Force Base, Illinois. The National Provider Identifier (NPI) is #1033450952, which was assigned on March 4, 2013, and the registration record was last updated on September 30, 2025. The practitioner's main practice location is at 310 W Losey St, Scott Air Force Base, IL 62225-5250; the contact telephone number is 6182569355. The primary taxonomy of Joan Fomboh Telazie-Simons is Registered Nurse (163W00000X). Joan Fomboh Telazie-Simons is licensed to practice in the state of Maryland (#R226483).

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Provider Information

NPI 1033450952
Entity Type Individual
Provider Name JOAN FOMBOH TELAZIE-SIMONS
Other Name JOAN FOMBOH
(Former Name)
Gender Female
Credential RN
Other Credential LPN
Practice Address 310 W Losey St
Scott Air Force Base
IL 62225-5250
Practice Telephone 6182569355
Mailing Address 310 W Losey St
Scott Air Force Base
IL 62225-5250
Mailing Telephone 6182569355
Certification Date 2025-09-30
Enumeration Date 2013-03-04
Last Update Date 2025-09-30
Is Sole Proprietor N

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
Y163W00000XRegistered NurseR226483MD

Taxonomy Information

Primary Taxonomy

Code 163W00000X
Taxonomy Registered Nurse
Classification Registered Nurse
Grouping Nursing Service Providers
Definition: (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.
Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988.

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Location Information

Street Address 310 W LOSEY ST
City SCOTT AIR FORCE BASE
State IL
Zip Code 62225-5250
Country US

Providers in the same location

Provider NameAddressTaxonomyEnumeration Date
Sarah Katherine Turbush 310 W Losey St, Scott Afb, IL 62225-5250Dentist2011-08-16
Sylvia N Iyaya · Sylvia N Musau 310 W Losey St, Scott Air Force Base, IL 62225-5250Psychiatric/Mental Health Nurse Practitioner2020-11-20
Donald P Ortmann 310 W Losey St, Scott Afb, IL 62225-5250Physical Therapist2018-06-25
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Caitlin M Cox · Catilin M Gregory 310 W Losey St, Scott Air Force Base, IL 62225-5250Student in an Organized Health Care Education/Training Program2020-02-04
Baylee Austin Delozier 310 W Losey St, Scott Afb, IL 62225-5250Family Medicine Physician2021-06-16
Jeffrey Roger Herchler 310 W Losey St, Scott Air Force Base, IL 62225-5250Physician Assistant2010-06-02
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Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Loren Mark Johnson 203 W Losey St, Suite 1620, Scott Afb, IL 62225-5207Family Medicine Physician2005-11-18
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.