Individual provider Active NPI

Naa Adaawah Wilson-Kumi, CRNA

  • Certified Registered Nurse Anesthetist
  • Waterbury, CT
National Provider Identifier
1407842370
Registry record updated Sep 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
SRA25033 Issued in CO
Practice address
56 Franklin St Ste 1
Waterbury, CT 06706-1281
Phone
(203) 709-6185
NPI assigned
Sep 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X RN-197396 CO
Certified Registered Nurse Anesthetist 367500000X RN966002 DC
Certified Registered Nurse Anesthetist 367500000X 109131 CT
Certified Registered Nurse Anesthetist 367500000X 005239 CT
Certified Registered Nurse Anesthetist 367500000X SRA25033 CO Primary

Addresses

Primary practice location

56 Franklin St Ste 1
Waterbury, CT 06706-1281

Mailing address

112 Pleasant Dr
Southbury, CT 06488-3231
Phone (240) 899-1993

Other practice location 1

160 Robbins St Ste 1
Waterbury, CT 06708-2692
Phone (203) 709-4300

Other identifiers 6

IdentifierTypeStateIssuer
KBC1CHOtherMDCAREFIRST BCBS
P00745078OtherMDMEDICARE RAILROAD
P00956867OtherCOMEDICARE RR
S417-0022OtherDCCAREFIRST BCBS
404579300MedicaidMD
82681279MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, TX2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130709000479 CT Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315929700 Reassigns benefits to 4 organizations
I20241212000257 TX Practitioner - Certified Registered Nurse Anesthetist (Crna) 7315929700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texans Anesthesia Associates PLLCGroup PAC ID 8820171390, 197 clinicians

Practice addresses (Care Compare)

1635 N Loop W
Houston, TX 77008-1532
Phone (713) 400-2990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN-197396COMDCertified Registered Nurse Anesthetist
SRA25033COMDCertified Registered Nurse Anesthetist
005239CTMDCertified Registered Nurse Anesthetist
109131CTMDCertified Registered Nurse Anesthetist
RN966002DCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Amsurg Stamford Anesthesia LLC CurrentSince Oct 1, 2017 Accepting new patients
Texans Anesthesia Associates PLLC Nurse Anesthetist, Certified Registered CurrentSince Nov 20, 2024 Accepting new patients
Woodland Anesthesia Associates PC CurrentSince Nov 20, 2017 Accepting new patients
Connecticut Gi PLLC CurrentSince Oct 24, 2022 Accepting new patients
Integrated Anesthesia Associates LLC Nurse Anesthetist, Certified Registered CurrentSince Jul 1, 2014 Accepting new patients
Anesthesia Associates of the Rockies LLC Past Accepting new patients
Blue Ridge Anesthesia Associates LLC Nurse Anesthetist, Certified Registered Past Accepting new patients
Chevy Chase Anesthesia LLC Past Accepting new patients
Colorado Personnel Resources Inc Past Accepting new patients

Locations

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

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

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

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

80 Seymour St
Ste 333
Hartford, CT 06106

435 Lewis Ave
Meriden, CT 06451
Phone (203) 284-1340

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

505 Willard Ave
Newington, CT 06111
Phone (860) 224-6709

30 Waterchase Dr
Ste 2
Rocky Hill, CT 06067

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

778 Long Ridge Rd
Stamford, CT 06902
Phone (203) 322-2400

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

160 Robbins St
Ste 1
Waterbury, CT 06708
Phone (203) 573-7284

56 Franklin St
Ste 1
Waterbury, CT 06706
Phone (203) 709-6479

9525 Katy Fwy
Ste 206
Houston, TX 77024
Phone (713) 400-2900

1635 North Loop W
Houston, TX 77008
Phone (713) 867-2066

7700 Fannin St
Houston, TX 77054
Phone (713) 790-1349

21720 Kingsland Blvd
Ste 101
Katy, TX 77450
Phone (281) 492-1234

15300 Southwest Fwy
Ste 100
Sugar Land, TX 77478
Phone (281) 274-6670

Organizations & group practices 9

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726099200000",
    "number": "1407842370",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 PLEASANT DR",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883231",
            "telephone_number": "240-899-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 FRANKLIN ST STE 1",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067061281",
            "telephone_number": "203-709-6185"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "160 Robbins St Ste 1",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067082692",
            "country_code": "US",
            "telephone_number": "203-709-4300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILSON-KUMI",
        "first_name": "NAA",
        "middle_name": "ADAAWAH",
        "name_prefix": "Ms.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-09-12",
        "certification_date": "2024-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "RN-197396",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "DC",
            "license": "RN966002",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "109131",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CT",
            "license": "005239",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CO",
            "license": "SRA25033",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "KBC1CH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00745078",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P00956867",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS",
            "identifier": "S417-0022",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404579300",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "82681279",
            "state": "CO"
        }
    ],
    "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 Sep 12, 2024; 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.