Kereen Semone Waller Simpson

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

144326 Issued in CT

Practice address

1106 North Ave
Bridgeport, CT 06604-2710

Phone

(475) 225-8071

NPI assigned

Sep 3, 2026

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1788393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788393600000",
    "number": "1316856537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 185023",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065180023",
            "telephone_number": "475-221-6620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1106 NORTH AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066042710",
            "telephone_number": "475-225-8071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALLER SIMPSON",
        "first_name": "KEREEN",
        "middle_name": "SEMONE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-09-03",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CT",
            "license": "144326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tiawuana V Walker
• Donna M Wallace, ARPN
• Eva Alicja Wallace, DNP
• Suzanne Marie Wallace, M. ED
• Charmaine Ann Marie Wallen
• Nancy Wallick, CRNA
• Carol Ann Walsh, RN
• Carolyn Walsh, CPNP
• Deanne Walsh, APRN
• Maxine Walsh

• Gerontology Nurse Practitioner in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Gerontology Nurse Practitioner in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.