MR. KELLY SHAUN SIMPSON (NPI# 1497732903) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497732903 |
| Entity Type | Individual |
| Full Name | MR. KELLY SHAUN SIMPSON |
| Credential | CRNA |
| Practice Address |
Madigan Army Medical Center Attn: Credentials Office 9040 Jackson Ave Tacoma WA 98431 |
| Mailing Address |
1642 Parkside Cir Niceville FL 32578-8706 |
| Practice Telephone | 2539692252 |
| Practice Fax Number | 2359683278 |
| Mailing Telephone | 8508305525 |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2019-05-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | RN309540 | OH | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245368745 | Kelly M Simpson | Occupational Therapy Assistant | 23293 South Pointe Drive, Laguna Hills, CA 92653-1447 | 2007-02-28 |
| 1275561672 | Kelly Simpson | Occupational Therapist | 4907 Nw 43rd St Ste C, Gainesville, FL 32606-2007 | 2006-06-28 |
| 1912516949 | Kelly Simpson | Behavior Technician | 30 Wills Way, Piscataway, NJ 08854-3770 | 2020-07-27 |
| 1376002329 | Kelly Simpson | Hearing Instrument Specialist | 1000 Commerce Dr, Peachtree City, GA 30269-3520 | 2019-03-19 |
| 1881092369 | Kelly Simpson | Behavioral Analyst | 6 Southside Rd, Danvers, MA 01923-1409 | 2014-12-15 |
| 1982948808 | Kelly Simpson | Nurse Anesthetist, Certified Registered | 45 Reade Pl, Poughkeepsie, NY 12601-3947 | 2012-11-15 |
| 1669723243 | Kelly Simpson | Social Worker | 3900 Woodland Ave, Philadelphia, PA 19104-4551 | 2012-09-24 |
| 1144507831 | Kelly Simpson | Counselor | 3491 Gandy Blvd N Ste 201, Pinellas Park, FL 33781-2654 | 2011-11-08 |
| 1194011981 | Kelly J Simpson | Student in an Organized Health Care Education/Training Program | 2203 N Ash St, Ponca City, OK 74601-1108 | 2011-06-21 |
| 1982904777 | Kelly S. Simpson | Nurse Practitioner | 1005 Highway 22 E, Owenton, KY 40359-9041 | 2010-10-26 |
| Street Address |
MADIGAN ARMY MEDICAL CENTER ATTN: CREDENTIALS OFFICE 9040 JACKSON AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98431 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255650388 | Emily Morgan | Orthopaedic Surgery | Madigan Army Medical Center Attn: Credentials Office, 9040 Jackson Ave, Tacoma, WA 98431-1000 | 2010-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497212260 | Catrina Renee Grugin | Registered Nurse | Madigan Army Medical Center, Attn Mchj-clq-c, 9040 Jackson Ave, Tacoma, WA 98431 | 2019-02-27 |
| 1801307681 | Bianca Gomez | Dental Assistant | Bldg 9900 Lincoln Street, Jblm, WA 98431 | 2017-10-19 |
| 1184133225 | Darren Paris | Registered Nurse | Madigan Army Medical Center 9040 Jackson Ave., Attn: Mchj-clq-c, Tacoma, WA 98431 | 2017-09-20 |
| 1922538206 | Sarah Frerichs | Dentist | Madigan Annex, Second Floor, Bldg. 9900, Apo, AA 98431 | 2017-06-19 |
| 1740736495 | Misty Hill | Dental Assistant | 9119 Mill Park Ave, Tacoma, WA 98431 | 2016-08-31 |
| 1336695535 | Jacqueline D Massouda | Dentist | Jblm Dentac, 9900 Lincoln Sreet, 2nd Floor, Apo, AA 98431 | 2016-08-28 |
| 1609239375 | Gregg V Palmer | Licensed Practical Nurse | 17th and C Street, Bldg 11582, Tacoma, WA 98431 | 2016-03-31 |
| 1114323904 | Deanna Sheets | Nurse Practitioner | 911 Mil Park Ave, Tacoma, WA 98431 | 2014-11-06 |
| 1679905434 | Austin William Schaar | Dentist | Building 9900, 2nd Floor, Tacoma, WA 98431 | 2013-08-05 |
| 1518209758 | Maurice Ibrahim Khayat | Internal Medicine | 9040 Jackson Ave Mche-qd (creds), Tacoma, WA 98431 | 2013-03-26 |
| Find all providers in zip 98431 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316296775 | Nicholas Allan Kroll | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave Credentials Office, Tacoma, WA 98431-2664 | 2012-08-31 |
| 1619272119 | Connie E. Jensen Pllc | Nurse Anesthetist, Certified Registered | 502 S M St Ste 200, Tacoma, WA 98405-3728 | 2011-01-14 |
| 1588975791 | Celeste Marie Hebert | Nurse Anesthetist, Certified Registered | 4907 162nd Street Ct E, Tacoma, WA 98446-3823 | 2010-06-23 |
| 1861654923 | Sound Anesthesia, LLP | Nurse Anesthetist, Certified Registered | 1112 6th Ave Ste 100, Tacoma, WA 98405-4048 | 2008-06-30 |
| 1346401833 | Robert Matt Cline | Nurse Anesthetist, Certified Registered | 3209s 23rd St 340, Tacoma, WA 98405-1602 | 2008-06-18 |
| 1013117837 | Douglas L Raber, Crna, Ps | Nurse Anesthetist, Certified Registered | 4165 Augusta Dr Ne, Tacoma, WA 98422-4751 | 2007-07-19 |
| 1780754945 | United States Army | Nurse Anesthetist, Certified Registered | 1814 Beacon Ct Ne, Tacoma, WA 98422-3469 | 2006-11-08 |
| 1043313927 | Melissa Alsbergas | Nurse Anesthetist, Certified Registered | 3209 S 23rd St Ste 240, Tacoma, WA 98405 | 2006-09-06 |
| 1598701328 | David Charles Joss | Nurse Anesthetist, Certified Registered | 9040 Jackson Ave Madigan Army Medical Center Bldg 9040, Tacoma, WA 98431-0001 | 2006-06-21 |
| 1760430151 | Amy M Nielsen | Nurse Anesthetist, Certified Registered | 3209 S 23rd St Ste 340, Tacoma, WA 98405 | 2006-05-05 |
| Find all providers in TACOMA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.