Active NPI
Daniel Wade Simmons, CRNA
- Certified Registered Nurse Anesthetist
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 6376
- Practice address
- 2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770 - Phone
- (252) 752-2140
- Fax
- (252) 689-6502
- NPI assigned
- Jul 23, 2019
- Last updated
- Jun 3, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 6376 | NC | Primary |
| Critical Care Medicine Registered Nurse | 163WC0200X | 232733 | NC |
Addresses
Primary practice location
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Mailing address
2080 W Arlington Blvd Ste B
Greenville, NC 27834-3770
Phone (252) 752-2140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Brody School of Medicine at East Carolina University, 2020
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
100 Airport Rd
Kinston, NC 28501-1604
Phone (252) 522-7000
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6376 | NC | MD | General Practice Dentistry |
| 232733 | NC | MD | Critical Care Medicine Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lenoir Memorial Hospital, Incorporated | Current | Accepting new patients | |
| East Carolina Anesthesia Associates, PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Lenoir Memorial Hospital, Incorporated | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
2080 W Arlington Blvd
Ste B
Greenville, NC 27834
Phone (252) 752-2140
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140
100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Greenville, NC
- NPI 1205996519
Nurse Anesthetist, Certified Registered
-
dba Certified Registered Nurse Anesthetist
- Certified Registered Nurse Anesthetist
- Kinston, NC
- NPI 1679517296
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Ekg Eeg
- Cardiology Technician
- Kinston, NC
- NPI 1013957414
Hospital
-
dba UNC Lenoir Health Care
- General Acute Care Hospital
- Kinston, NC
- NPI 1962446385
-
dba ECU Health Beaufort Hospital-a campus of ECU Health Medical Center
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
dba ECU Health Medical Center
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1591142400000",
"number": "1871146381",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2080 W ARLINGTON BLVD STE B",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343770",
"telephone_number": "252-752-2140",
"fax_number": "252-689-6502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMMONS",
"first_name": "DANIEL",
"middle_name": "WADE",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-23",
"last_updated": "2020-06-03",
"certification_date": "2020-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NC",
"license": "6376",
"primary": true
},
{
"code": "163WC0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Critical Care Medicine",
"state": "NC",
"license": "232733",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 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.