Kaitlyn E Simmons, DNP, FNP-BC, RN

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

RN676866 Issued in PA

Practice address

9 N Brookside Rd
Springfield, PA 19064-2527

Phone

(610) 543-5300

NPI assigned

Oct 28, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner, Registered Nurse

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://ssproxy.pennhealth.com/PRD-FHIR/api/FHIR/R4/

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.

• Penn Medicine-Pma

  • Internal Medicine Physician
  • Audubon, PA
  • NPI 1144895970
  Medicare reassignment NPD
• Penn Medicine-Pma

  • Pulmonary Disease Physician
  • Audubon, PA
  • NPI 1013582840
  NPD

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

{
    "created_epoch": "1666915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666915200000",
    "number": "1295442358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 W 17TH ST",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198061330",
            "telephone_number": "203-444-2031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 N BROOKSIDE RD",
            "city": "SPRINGFIELD",
            "state": "PA",
            "postal_code": "190642527",
            "telephone_number": "610-543-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMMONS",
        "first_name": "KAITLYN",
        "middle_name": "E",
        "credential": "DNP, FNP-BC, RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-10-28",
        "last_updated": "2022-10-28",
        "certification_date": "2022-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "RN676866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robyn Mia Shor-Conroy, D.O.
• Shukla Dental PLLC
• Chintan Shukla, DMD
• Robert S Shusman, MD
• Frederic Howard Siegal, D.M.D.
• Jennifer Kerrs Singer, LCSW
• Joshua Paul Singer, D.C.
• Sleepmed Therapies Inc.
• Allison R Smith, DPT
• Erica Ann Smith, RPH

• Nurse Practitioner in Springfield, PA
• Providers in Springfield, PA by specialty
• Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.