Active NPI
Kathleen Simmonds, CRNA
- Certified Registered Nurse Anesthetist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 0211
- Practice address
- 5777 E Mayo Blvd
Phoenix, AZ 85054-4502 - Phone
- (480) 301-8000
- NPI assigned
- Nov 17, 2005
- Last updated
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | RN089320 | AZ | |
| Certified Registered Nurse Anesthetist | 367500000X | 0211 | AZ | Primary |
| Anesthesiology Physician | 207L00000X | R121674 | MD |
Addresses
Primary practice location
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
Mailing address
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8845
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ksimmonds395634@ehrdirect.mayoclinicmsg.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13400 E Shea Blvd
Scottsdale, AZ 85259-5404
Phone (480) 301-8000
5701 E Mayo Blvd
Phoenix, AZ 85054-4502
Phone (480) 342-4200
5777 E Mayo Blvd
Phoenix, AZ 85054-4502
5779 E Mayo Blvd
Speciality Building
Phoenix, AZ 85054-4502
Phone (480) 301-8000
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
Merit-based Incentive Payment System (MIPS)
- Final score
- 86.47 of 100
- Quality
- 78.27
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.62
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R121674 | MD | MD | Anesthesiology Physician |
| 0211 | AZ | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Northern Arizona Healthcare Corporation | Anesthesiology | Current | Accepting new patients |
| Ias Arizona PLLC | Anesthesiology | Current | Accepting new patients |
| Mayo Clinic Arizona | Current | Accepting new patients | |
| Parkway Anesthesiologists, PA | Anesthesiology | Past | Accepting new patients |
| Parkway Pain Services PA | Anesthesiology | Past | Accepting new patients |
Locations
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
5777 E Mayo Blvd
Phoenix, AZ 85054
Phone (480) 342-1800
13400 E Shea Blvd
Scottsdale, AZ 85259
10360 E Drexel Rd
Tucson, AZ 85747
Phone (469) 340-1366
5301 E Grant Rd
Tucson, AZ 85712
Phone (520) 324-1344
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Mayo Clinic Scottsdale
- Multi-Specialty Clinic/Center
- Scottsdale, AZ
- NPI 1558332494
-
- Anesthesiology Physician
- Tucson, AZ
- NPI 1689359747
-
- Durable Medical Equipment & Medical Supplies
- Phoenix, AZ
- NPI 1699520049
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Anesthesiology
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1417901869
-
- Anesthesiology Physician
- Baltimore, MD
- NPI 1659359503
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": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1295717908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13400 E SHEA BLVD",
"city": "SCOTTSDALE",
"state": "AZ",
"postal_code": "852595404",
"telephone_number": "480-301-8845",
"fax_number": "480-301-4988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5777 E MAYO BLVD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850544502",
"telephone_number": "480-301-8000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONDS",
"first_name": "KATHLEEN",
"name_prefix": "Ms.",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-17",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "RN089320",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "AZ",
"license": "0211",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "R121674",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ksimmonds395634@ehrdirect.mayoclinicmsg.org",
"affiliation": "N",
"address_1": "5777 E Mayo Blvd",
"city": "Phoenix",
"state": "AZ",
"country_code": "US",
"postal_code": "850544502",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 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.