Individual provider Active NPI

Holly D Simms, CRNA

  • Certified Registered Nurse Anesthetist
  • East Hartford, CT
National Provider Identifier
1063611432
Registry record updated Oct 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
071407 Issued in CT
Practice address
99 East River Drive
5TH Floor
East Hartford, CT 06108-7301
Phone
(860) 282-0833
Fax
(860) 282-0170
NPI assigned
Jul 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 071407 CT Primary

Addresses

Primary practice location

99 East River Drive
5TH Floor
East Hartford, CT 06108-7301

Mailing address

2 Trap Falls Road
Suite 414
Shelton, CT 06484
Phone (203) 929-7353

Other identifiers 1

IdentifierTypeStateIssuer
004081725MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071101000570 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 2264529684 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilton Anesthesia Associates, LLCGroup PAC ID 3274513288, 16 clinicians

Practice addresses (Care Compare)

4 Northwestern Dr
Bloomfield, CT 06002-3444
Phone (860) 243-8440

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
071407CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Connecticut Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince Apr 14, 2023 Accepting new patients
Woodland Anesthesia Associates PC CurrentSince Nov 20, 2017 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Feb 22, 2022 Accepting new patients
Yale University CurrentSince Jan 18, 2019 Accepting new patients
Connecticut Gi PLLC CurrentSince Dec 1, 2021 Accepting new patients
Yale University CurrentSince Jan 18, 2019 Accepting new patients
Charter Anesthesiology LLC CurrentSince Feb 1, 2023 Accepting new patients
Endoscopy Center of Connecticut, LLC CurrentSince Feb 22, 2022 Accepting new patients
Wilton Anesthesia Associates, LLC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2021 Accepting new patients

Locations

4 Northwestern Dr
Bloomfield, CT 06002
Phone (860) 243-2969

701 Cottage Grove Rd
Ste F230
Bloomfield, CT 06002
Phone (860) 243-5569

41 Brewster Rd
Bristol, CT 06010
Phone (800) 585-3000

425 Post Rd
Fairfield, CT 06824
Phone (203) 255-4545

2200 Whitney Ave
Ste 380
Hamden, CT 06518
Phone (203) 281-3636

114 Woodland St
Hartford, CT 06105
Phone (860) 714-4001

85 Seymour St
Ste 1000
Hartford, CT 06106
Phone (860) 246-2571

60 Wellington Rd
Milford, CT 06461
Phone (203) 878-2010

300 Seaside Ave
Milford, CT 06460
Phone (203) 876-4000

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

300 George St
Fl 6
New Haven, CT 06511
Phone (203) 785-6610

20 York St
North Haven, CT 06510
Phone (203) 688-2433

30 Waterchase Dr
Rocky Hill, CT 06067
Phone (860) 257-4131

30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067

400 10th St E
Waconia, MN 55387

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1184544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476057600000",
    "number": "1063611432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 TRAP FALLS ROAD",
            "address_2": "SUITE 414",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "06484",
            "telephone_number": "203-929-7353",
            "fax_number": "203-929-0756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 EAST RIVER DRIVE",
            "address_2": "5TH FLOOR",
            "city": "EAST HARTFORD",
            "state": "CT",
            "postal_code": "061087301",
            "telephone_number": "860-282-0833",
            "fax_number": "860-282-0170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMS",
        "first_name": "HOLLY",
        "middle_name": "D",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-16",
        "last_updated": "2016-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "071407",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004081725",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in East Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.