SUMMER EVERETT (NPI# 1194262030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194262030 |
| Entity Type | Individual |
| Full Name | SUMMER EVERETT |
| Practice Address |
4055 Gatwick Ct Apt 1008 Fort Worth TX 76155-2854 |
| Practice Telephone | 8172627175 |
| Mailing Telephone | 8172627175 |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2017-01-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 372600000X | Adult Companion | Nursing Service Related Providers | ||
| Y | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | TEXAS | 05 | |
| TX | BLUE CROSS BLUE SHEILD | TEXAS | 01 |
| Street Address |
4055 GATWICK CT APT 1008 |
| City | FORT WORTH |
| State | TX |
| Zip Code | 76155-2854 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053757815 | Varsha Patel | Pharmacist | 15001 Trinity Boulevard, Fort Worth, TX 76155 | 2013-05-20 |
| 1922194588 | Rebecca Lyn Snell | Physical Therapist | 4255 Amon Carter Blvd., Fort Worth, TX 76155 | 2006-10-04 |
| 1932110525 | Medpro Pharmacy LLC | Pharmacy | 4200 Buckingham Road, Suite 105b, Fort Worth, TX 76155 | 2006-08-10 |
| 1669961819 | Shannon Lea Robertson | Licensed Vocational Nurse | 4251 Golding Ave Apt 5207, Fort Worth, TX 76155-2141 | 2018-05-03 |
| 1659972230 | Covetrus Pharmacy Services, LLC | Pharmacy | 14800 Faa Blvd Ste 150, Fort Worth, TX 76155-2252 | 2020-11-02 |
| 1568491553 | Omnicare Pharmacy of Texas No 1 Lp | Pharmacy | 14450 Trinity Blvd, Suite 200, Ft Worth, TX 76155-2549 | 2006-07-02 |
| 1710596200 | Mary Goertz | Physical Therapist | 4120 Highway 360 Ste 105, Fort Worth, TX 76155-2562 | 2020-07-30 |
| 1104131507 | Merlie Tameika Anderson | Speech-Language Pathologist | 4300 Dulles Dr, 13307, Fort Worth, TX 76155-2575 | 2010-08-10 |
| 1619448248 | Nulife Pharmacy, Inc | Pharmacy | 14150 Trinity Blvd Ste 750, Fort Worth, TX 76155-2597 | 2018-12-07 |
| 1225233422 | Thomas Neal Bettes | Family Medicine | 4255 Amon Carter Blvd, American Airlines Medical Dept., Fort Worth, TX 76155-2603 | 2007-06-18 |
| Find all providers in zip 76155 | ||||
| Taxonomy Code | 3747P1801X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Personal Care Attendant |
| An individual who provides assistance with eating, bathing, dressing, personal hygiene, activities of daily living as specified in the plan of care. Services which are incidental to the care furnished, or essential to the health and welfare of the individual may also be provided. Personal care providers must meet state defined training and certification standards |
| Notes: [7/1/2003: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730796897 | Loving Aides Who Care Services, LLC | Technician | 5209 E Berry St, Fort Worth, TX 76119-7719 | 2020-09-23 |
| 1962034041 | Christine Lohrke | Technician | 300 Trinity Campus Cir # Trwf3200, Fort Worth, TX 76102-1964 | 2020-02-06 |
| 1942853221 | Ashantay Moore | Technician | 7468 Tallow Wind Trl Apt F, Fort Worth, TX 76133-7321 | 2019-07-16 |
| 1134785553 | Tracy Sellers | Technician | 4407 Bellaire Dr S Apt 216, Fort Worth, TX 76109-5104 | 2019-05-10 |
| 1710447644 | Mychoice Home Care LLC | Technician | 5120 Leeray Rd, Fort Worth, TX 76244-9233 | 2019-03-25 |
| 1700354032 | Ricardo Emmanuel Limon Jr. | Technician | 6133 River Cross Dr, Fort Worth, TX 76114-3159 | 2018-11-05 |
| 1265914543 | Cathrine C Dean | Technician | 2562 Beverly Ave, Fort Worth, TX 76104-6629 | 2018-09-03 |
| 1851883979 | Melissa Abigail Zamora | Technician | 2625 Lee Ave, Fort Worth, TX 76164-7041 | 2018-06-04 |
| 1518458934 | Sammantha Steward | Technician | 1746 Water St, Fort Worth, TX 76102-5761 | 2018-05-21 |
| 1841791258 | Robyn Rich | Technician | 5104 Prestwick Drive, Fort Worth, TX 76135 | 2018-02-22 |
| Find all providers in FORT WORTH | ||||
| City | FORT WORTH |
| Zip Code | 76155 |
Please comment or provide details below to improve the information on SUMMER EVERETT.
| 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.