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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

KEREEN SEMONE WALLER SIMPSON
NPI 1316856537
Nurse Practitioner - Gerontology in Bridgeport, CT

Active since September 03, 2026
1106 NORTH AVE, BRIDGEPORT, CT 06604(475) 225-8071 Get Directions Write a Review

NPPES record added: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Kereen Semone Waller Simpson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEREEN SEMONE WALLER SIMPSON (NPI 1316856537) is an individual gerontology provider in Bridgeport, Connecticut, licensed in Connecticut (144326) and active in the NPI registry since September 2026.

NPPES Registry Identity

NPI1316856537
Entity TypeIndividualFemale
Primary Taxonomy363LG0600X
Provider Legal NameKEREEN SEMONE WALLER SIMPSON
Location Address1106 NORTH AVEBridgeport, CT 06604-2710
Mailing AddressPo Box 185023Hamden, CT 06518-0023 · (475) 221-6620
Phone(475) 225-8071
Sole ProprietorNo
Enumeration DateSeptember 3, 2026
NPPES CertifiedSeptember 1, 2026
✔ NPI 1316856537 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
License✔ Licensed in CT · 144326
1106 NORTH AVE, Bridgeport, CT 06604
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Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. REGINALD ANTHONY HOFFLER M.D.
Psychiatry & Neurology (Psychiatry)
1106 NORTH AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 579-6131
MS. LEE SIUZDAK APRN
Nurse Practitioner (Psychiatric/Mental Health)
1106 NORTH AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (475) 225-8010
MARTHE CATHY SOOH NKONGO APRN
Nurse Practitioner (Family)
1106 NORTH AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 870-8430
DR. RICHARD DAVID MOON PH.D.
Psychologist
1106 NORTH AVE
BRIDGEPORT, CT 06604
Greater Bridgeport Planning Region (203) 579-6131

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kereen Waller Simpson's NPI number?

The NPI number for Kereen Waller Simpson is 1316856537. It was assigned to this individual provider in the NPPES registry on September 3, 2026.

Where is Kereen Waller Simpson located?

Kereen Waller Simpson practices at 1106 North Ave, Bridgeport, CT 06604. The listed phone number is (475) 225-8071.

What is Kereen Waller Simpson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

When was this NPI record last updated?

The NPPES record for Kereen Waller Simpson was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.