Nancy Montgomery Simson, CCP

Primary specialty

PerfusionistTaxonomy code 242T00000X

Practice address

1553 E Spring Run Dr
Holladay, UT 84117-6843

Phone

(404) 906-0483

NPI assigned

Jul 29, 2020

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

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1595980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1595980800000",
    "number": "1841809308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1553 E SPRING RUN DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841176843",
            "telephone_number": "404-906-0483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 E SPRING RUN DR",
            "city": "HOLLADAY",
            "state": "UT",
            "postal_code": "841176843",
            "telephone_number": "404-906-0483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMSON",
        "first_name": "NANCY",
        "middle_name": "MONTGOMERY",
        "name_prefix": "Ms.",
        "credential": "CCP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-29",
        "last_updated": "2020-07-29",
        "certification_date": "2020-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheetal Shah, MD
• Olesya Shcheglovitova, RPH
• Signature Utah Dental Partners PC
• James Silvestri, MSW, CSW
• Thomas Bullock Simon, DPM
• Skezics Corporation
• J. Richard Smart, D.D.S.
• Douglas Roland Smith, M.D.
• James Kimball Smith, LCSW
• Noni Smith, COTA

• Perfusionist in Holladay, UT
• Providers in Holladay, UT by specialty
• Perfusionist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.