Active NPI
Ann Fitzsimmons, CRNA
- Certified Registered Nurse Anesthetist
- Wilkes Barre, PA
National Provider Identifier
1881611739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- RN222500L
- Practice address
- 575 N River St
Wilkes Barre, PA 18764-0999 - Phone
- (570) 829-8111
- NPI assigned
- Jul 16, 2006
- Last updated
- Nov 15, 2018
- 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 | RN222500L | PA | Primary |
Addresses
Primary practice location
575 N River St
Wilkes Barre, PA 18764-0999
Mailing address
11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax, VA 22033-3309
Phone (571) 777-5102
Other names 1
- Ann Bomboy
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542240000000",
"number": "1881611739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11781 LEE JACKSON MEMORIAL HWY",
"address_2": "SUITE 550",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220333309",
"telephone_number": "571-777-5102",
"fax_number": "703-563-6256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "575 N RIVER ST",
"city": "WILKES BARRE",
"state": "PA",
"postal_code": "187640999",
"telephone_number": "570-829-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FITZSIMMONS",
"first_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-16",
"last_updated": "2018-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "PA",
"license": "RN222500L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ANN",
"last_name": "BOMBOY",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilkes Barre, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.