Individual provider Active NPI

Jody Williams, CRNA

  • Certified Registered Nurse Anesthetist
  • Waterbury, CT
National Provider Identifier
1295146090
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
5865 Issued in CT
Practice address
100 Westridge Dr
Waterbury, CT 06708-3337
Phone
(860) 985-0777
NPI assigned
May 14, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X R54831 CT
Certified Registered Nurse Anesthetist 367500000X 5865 CT Primary

Addresses

Primary practice location

100 Westridge Dr
Waterbury, CT 06708-3337

Mailing address

37 Crest St
Waterbury, CT 06708-2806
Phone (860) 985-0777

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150210000125 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 9830414184 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Anesthesia CT PLLCGroup PAC ID 1759755416, 34 clinicians

Practice addresses (Care Compare)

64 Robbins St
Waterbury, CT 06708-2613
Phone (203) 573-7280

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R54831CTMDRegistered Nurse
5865CTMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgeport Anesthesia Associates, P.C. Nurse Anesthetist, Certified Registered CurrentSince May 22, 2014 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jan 1, 2020 Accepting new patients
Yale University CurrentSince Jan 7, 2021 Accepting new patients
Yale University CurrentSince Jan 7, 2021 Accepting new patients
Yale University Current Accepting new patients
Connecticut Gi PLLC CurrentSince Jul 1, 2020 Accepting new patients
Woodland Anesthesia Associates PC CurrentSince Oct 1, 2024 Accepting new patients
North American Partners in Anesthesia Connecticut PC CurrentSince Aug 6, 2019 Accepting new patients
Anesthesiologists of Middletown, P.C. CurrentSince Mar 15, 2025 Accepting new patients
Synergy Anesthesia CT PLLC CurrentSince Apr 1, 2023 Accepting new patients

Locations

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

267 Grant St
Bridgeport, CT 06610
Phone (203) 384-3170

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

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

80 Seymour St
Hartford, CT 06106
Phone (860) 545-2249

28 Crescent St
Middletown, CT 06457
Phone (860) 358-6000

410 Saybrook Rd
Middletown, CT 06457
Phone (615) 686-2262

145 S Main St
Middletown, CT 06457
Phone (860) 346-5889

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

100 Grand St
New Britain, CT 06052
Phone (860) 224-5011

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

901 Ethan Allen Hwy
Ridgefield, CT 06877
Phone (203) 383-9967

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

2 Corporate Dr
Ste 955
Shelton, CT 06484
Phone (203) 929-7375

245 Alvord Park Rd
Bldg B
Torrington, CT 06790
Phone (860) 482-4866

64 Robbins St
Waterbury, CT 06708
Phone (203) 573-7142

Organizations & group practices 10

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1400025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1295146090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 CREST ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067082806",
            "telephone_number": "860-985-0777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTRIDGE DR",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083337",
            "telephone_number": "860-985-0777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JODY",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-14",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CT",
            "license": "R54831",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "5865",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2020; 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.