SUMMER WATT (NPI# 1104308089) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1104308089 |
Entity Type | Individual |
Full Name | SUMMER WATT |
Practice Address |
4199 Gateway Blvd Newburgh IN 47630-8940 |
Mailing Address |
Po Box 637273 Cincinnati OH 45263-7273 |
Practice Telephone | 8128424200 |
Practice Fax Number | 8128424227 |
Mailing Telephone | 8128424200 |
Mailing Fax Number | 8128424227 |
Enumeration Date | 2018-09-06 |
Last Update Date | 2019-06-17 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 163W00000X | Registered Nurse | 28141704A | IN | Nursing Service Providers |
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
71008502A | IN | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IN | IN CSR LICENSE | 71008502B | 01 |
IN | INDIANA APN LICENSE | 71008502A | 01 |
Street Address |
4199 GATEWAY BLVD |
City | NEWBURGH |
State | IN |
Zip Code | 47630-8940 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1457354938 | Frank L. Hilton | Obstetrics & Gynecology | 4199 Gateway Blvd, Ste 2400, Newburgh, IN 47630-8967 | 2005-05-27 |
1366085789 | Samantha Dillman | Physician Assistant | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-10-18 |
1730736901 | Jessica Martin | Dietitian, Registered | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-08-22 |
1891342051 | Abigail Eger | Dietitian, Registered | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-08-22 |
1639730252 | Shelby Schroeder | Occupational Therapist | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-06-25 |
1376001057 | Madison Burklow | Physical Therapist | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-03-12 |
1134684749 | Kathryn Hurst | Registered Nurse | 4199 Gateway Blvd, Newburgh, IN 47630-8940 | 2019-02-07 |
1932612587 | Christine Pankau | Nurse Practitioner | 4199 Gateway Blvd, Suite 2300, Newburgh, IN 47630 | 2017-11-06 |
1477007748 | Briana Alvey | Clinical Nurse Specialist | 4199 Gateway Blvd, Suite 2500, Newburgh, IN 47630-8940 | 2016-08-04 |
1982070538 | Tonya F Barringer | Physical Therapist | 4199 Gateway Blvd, Suite 3500, Newburgh, IN 47630-8940 | 2015-08-18 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477199859 | Dana Marie Deken | Physical Therapy Assistant | 322 Bell Oaks, Newburgh, IN 47630 | 2019-11-21 |
1851948897 | Riley Elizabeth Eilken | Physical Therapist | 4233 Gateway Glbd, Suite 201, Newburgh, IN 47630 | 2019-08-23 |
1851851174 | Jennifer Ozete Cole | Physical Therapist | 4233 Gateway Boulvard Suite 201, Newburgh, IN 47630 | 2019-03-22 |
1174014542 | Katherine E Lyle | Music Therapist | 1003 Sr 662 W, Newburgh, IN 47630 | 2018-05-22 |
1144719923 | Jennifer Michelle Huffman | Occupational Therapy Assistant | 9800 Lincolne Avenue, Newburgh, IN 47630 | 2018-05-07 |
1215431846 | Deaconess Specialty Physicians, Inc | Internal Medicine | 4007 Gateway Blvd Ste 100, Newburgh, IN 47630 | 2018-03-20 |
1801313002 | Deaconess Hospital, Inc | Pharmacy | 4209 Gateway Blvd., Newburgh, IN 47630 | 2017-08-28 |
1629435599 | Caitlyn Beckinger | Physical Therapy Assistant | 9800 Lincoln Ave, Newburgh, IN 47630 | 2016-01-24 |
1568869410 | Jill Buck | Social Worker | 8788 Ruffian Ln Ste D, Newburgh, IN 47630 | 2014-11-20 |
1003191057 | Marshall Alan Cox | Pharmacist | 7769 Hwy 66, Newburgh, IN 47630 | 2011-10-20 |
Find all providers in zip 47630 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346853413 | Heather Nicole Dickerson | Nurse Practitioner | 8211 W State Route 66 Ste A, Newburgh, IN 47630-2534 | 2020-08-28 |
1265064380 | Debra Winkler | Nurse Practitioner | 4199 Gateway Blvd Ste 2300, Newburgh, IN 47630-8966 | 2020-02-06 |
1043863715 | Lajuan Bethune Booker Np In Family Health P.C. | Nurse Practitioner | 24 Knights Cir, Newburgh, NY 12550-2422 | 2019-07-22 |
1477039733 | Christian Jose Plaza | Nurse Practitioner | 407 Gidney Ave Ste B, Newburgh, NY 12550-3741 | 2018-07-19 |
1801319256 | Audra M Douglas | Nurse Practitioner | 100 St Marys Epworth Xing Ste A100, Newburgh, IN 47630-9694 | 2017-07-18 |
1336676444 | Amy Lowe | Nurse Practitioner | 100 St Marys Epworth Xing Ste A200, Newburgh, IN 47630-9695 | 2017-05-19 |
1497297808 | Joy Lariviere | Nurse Practitioner | 407b Gidney Ave, Newburgh, NY 12550-3702 | 2016-11-16 |
1952851339 | Kaye Lucas Saludares | Nurse Practitioner | 44 Ramblewood Dr, Newburgh, NY 12550-8784 | 2016-10-10 |
1730562679 | Sofya Sinelnikov | Nurse Practitioner | 425 Robinson Ave Ste 1, Newburgh, NY 12550-3303 | 2015-07-08 |
1265847495 | Krystal Thurman Wright | Nurse Practitioner | 8211w State Route 66 A, Newburgh, IN 47630-2534 | 2014-06-26 |
Find all providers in NEWBURGH |
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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.