Active NPI
Ann Catherine Simon, CRNA
- Certified Registered Nurse Anesthetist
- Winter Haven, FL
National Provider Identifier
1720119191
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- ARNP1053702
- Practice address
- 2400 Dundee Rd
Winter Haven, FL 33884-1166 - Phone
- (863) 293-8471
- NPI assigned
- Mar 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | ARNP1053702 | FL | Primary |
Addresses
Primary practice location
2400 Dundee Rd
Winter Haven, FL 33884-1166
Mailing address
PO Box 864165
Orlando, FL 32886-4165
Phone (317) 614-9863
Other practice location 1
567 Avenue K SE
Winter Haven, FL 33880-4215
Phone (863) 299-1231
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Polk County Anesthesia | Past | Accepting new patients | |
| Anesthesia Associates MD PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Anesthesiology Physician
- Winter Haven, FL
- NPI 1578589909
-
- Anesthesiology Physician
- Bartow, FL
- NPI 1558394940
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539216000000",
"number": "1720119191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 864165",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328864165",
"telephone_number": "317-614-9863",
"fax_number": "844-876-0873"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 DUNDEE RD",
"city": "WINTER HAVEN",
"state": "FL",
"postal_code": "338841166",
"telephone_number": "863-293-8471"
}
],
"practiceLocations": [
{
"address_1": "567 Avenue K SE",
"address_purpose": "LOCATION",
"city": "Winter Haven",
"state": "FL",
"postal_code": "338804215",
"country_code": "US",
"telephone_number": "863-299-1231",
"fax_number": "863-299-1231",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SIMON",
"first_name": "ANN",
"middle_name": "CATHERINE",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-08",
"last_updated": "2018-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "FL",
"license": "ARNP1053702",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winter Haven, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.