TIFFANY SUMMERILL (NPI# 1255958039) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255958039 |
| Entity Type | Individual |
| Full Name | TIFFANY SUMMERILL |
| Practice Address |
509 N Walnut St Wilmington DE 19804-2667 |
| Practice Telephone | 3022938581 |
| Mailing Telephone | 3022938581 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WC0400X |
Registered Nurse Specialization: Case Management |
L1-0036766 | DE | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DE | NONE | NONE | 01 |
| Street Address |
509 N WALNUT ST |
| City | WILMINGTON |
| State | DE |
| Zip Code | 19804-2667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932696283 | Interlink Counseling Services, LLC | Clinic/Center | 102 Larch Ave Ste 101f, Newport, DE 19804 | 2018-04-21 |
| 1174045066 | Emma Yunyi Yang | Dentist | 6 Larch Ave Ste 402, Wilmington, DE 19804 | 2017-07-12 |
| 1518312941 | Mark Fisher | Registered Nurse | 13 Main Ave, Wilmington, DE 19804 | 2016-05-04 |
| 1568857019 | Chrystal Graham | Registered Nurse | 1418 Newport Rd, Wilmington, DE 19804 | 2015-04-01 |
| 1871993717 | Emily Elizabeth Brokaw | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
| 1992835201 | H. Donald Jones | Dentist | 1 Winston & Maryland Ave., Wilmington, DE 19804 | 2007-03-06 |
| 1538211172 | Family Dental Center | Dentist | 1 Winston & Maryland Ave, Wilmington, DE 19804 | 2007-01-16 |
| 1205236148 | Jeannie Irvine Henriques | Speech-Language Pathologist | 99 Middleboro Rd, Wilmington, DE 19804 | 2014-08-28 |
| 1497896682 | Avalon Dental LLC | Dentist | 301 S Old Dupont Rd, Ste A, Wilmington, DE 19804-0000 | 2007-02-09 |
| 1982640041 | Manjul Asthana | Psychologist | C/o Harmonious Mind, 240 N. James St, Ste 111, Newport, DE 19804-0000 | 2006-06-20 |
| Find all providers in zip 19804 | ||||
| Taxonomy Code | 163WC0400X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Case Management |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174993877 | Nicole White | Registered Nurse | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2015-10-07 |
| 1326417965 | Kattie Kotowski | Registered Nurse | 2713 Lancaster Ave, Wilmington, DE 19805-5220 | 2015-09-24 |
| 1174663728 | New Hanover Regional Medical Ctr | Registered Nurse | 2131 S 17th St, Wilmington, NC 28401-7407 | 2007-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821658329 | Lori Lynn Snyder | Registered Nurse | 26390 Pine Cone Dr, Long Neck, DE 19966-5814 | 2019-06-17 |
| 1376796813 | Mary Ann Rosano | Registered Nurse | 275 Merion Rd, Dover, DE 19904-2324 | 2008-10-28 |
| 1386155497 | Leslie Skelley | Registered Nurse | 424 Savannah Rd, Lewes, DE 19958-1462 | 2017-10-16 |
| City | WILMINGTON |
| Zip Code | 19804 |
Please comment or provide details below to improve the information on TIFFANY SUMMERILL.
| 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.