KIMBERLY ANNE SUMMERVILLE (NPI# 1457895617) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457895617 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANNE SUMMERVILLE |
| Credential | OTR/L |
| Practice Address |
2600 Croasdaile Farm Pkwy Durham NC 27705-1331 |
| Mailing Address |
1077 Perdue Dr Chapel Hill NC 27517-7465 |
| Practice Telephone | 9193842000 |
| Mailing Telephone | 9198151156 |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2016-12-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2147 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760865638 | Kimberly Summerville | Home Health Aide | 866 Wilson Ave, Norton Shores, MI 49441-3196 | 2015-07-09 |
| Street Address |
2600 CROASDAILE FARM PKWY |
| City | DURHAM |
| State | NC |
| Zip Code | 27705-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972587376 | The United Methodist Retirement Homes, Incorporated | Skilled Nursing Facility | 2600 Croasdaile Farm Pkwy, Durham, NC 27705-1331 | 2005-11-30 |
| 1861864324 | Delethia Lloyd | Nurse Practitioner | 2600 Croasdaile Farm Pkwy, Ambulatory Care Clinic, Durham, NC 27705-1331 | 2015-10-23 |
| 1285022459 | Sarah Jena Apple | Physical Therapist | 2600 Croasdaile Farm Pkwy, Durham, NC 27705-1331 | 2014-12-22 |
| 1174854657 | Nancy L Rosebaugh | Nurse Practitioner | 2600 Croasdaile Farm Pkwy, Durham, NC 27705-1331 | 2010-01-22 |
| 1164648861 | The United Methodist Retirement Homes, Incorporated | Clinic/Center | 2600 Croasdaile Farm Pkwy, Durham, NC 27705 | 2007-04-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295371755 | Tyler Beach, Lcsw, Pllc | Social Worker | 2740 Spencer Street, Durham, NC 27705 | 2019-11-20 |
| 1720635477 | Brittany W Fry | Registered Nurse | 2301 Erwin Road, Hafs Building, Room 6670, Durham, NC 27705 | 2019-08-19 |
| 1760968044 | Nicole D Moore | Social Worker | 1921 N. Pointe Dr, Suite 280, Durham, NC 27705 | 2018-07-19 |
| 1144757097 | Emileigh S Dowling | Physical Therapist | 3475 Erwin Rd Bldg 2, Durham, NC 27705 | 2017-05-22 |
| 1487195350 | Daniel Lynch | Physical Therapist | 3475 Erwin Road, Pepsico Building, Durham, NC 27705 | 2017-03-13 |
| 1780131839 | Michael A Fitzpatrick Iv | Physical Therapist | 3475 Erwin Rd Bldg 2nd, Durham, NC 27705 | 2016-09-07 |
| 1609241736 | Julia Power Constant | Physician Assistant | Dumc Box 3913, Durham, NC 27705 | 2015-12-01 |
| 1518344159 | Amanda Clark Coniglio | Internal Medicine | 2301 Erwin Rd # 3845, Durham, NC 27705 | 2015-05-04 |
| 1720486988 | Jennifer Dawn Pace | Physician Assistant | 1821 Hillandale Road Suite 24a, Duke Urgent Care, Durham, NC 27705 | 2014-12-19 |
| 1942612106 | Rachel Hibberd | Psychologist | 508 Fulton Avenue, Durham Va Medical Center, Durham, NC 27705 | 2014-05-22 |
| Find all providers in zip 27705 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609490119 | Michelle Kathryn Brown | Occupational Therapist | 504 E Pettigrew St Apt 134, Durham, NC 27701-4462 | 2020-06-01 |
| 1548726177 | Leslie Shannon Riley | Occupational Therapist | 25 Hawthorne Dr, Durham, NC 27712-3225 | 2019-02-19 |
| 1518464015 | Michaela K Smith | Occupational Therapist | 13 Edgewood Rd, Durham, NH 03824-1902 | 2018-04-11 |
| 1316447527 | Hanna Carey Grenon | Occupational Therapist | 2229 Gablefield Ln, Durham, NC 27713-2786 | 2018-02-14 |
| 1295261725 | Jennifer Barratt | Occupational Therapist | 1005 N Buchanan Blvd, Apartment A, Durham, NC 27701-1139 | 2017-05-03 |
| 1215387238 | Blythe Ardyson | Occupational Therapist | 6220 Mount Hermon Church Rd, Durham, NC 27705-8049 | 2016-06-21 |
| 1346622669 | Fonda Kay Laughlin | Occupational Therapist | 1800 Williamsburg Rd, Apt. 1n, Durham, NC 27707-6314 | 2015-06-23 |
| 1851793129 | Shanon J Schuster | Occupational Therapist | 1014 Hale St, Durham, NC 27705-4068 | 2014-09-18 |
| 1124459292 | Private Diagnostic Clinic, Pllc | Occupational Therapist | Duke Clinic 1e, 40 Duke Medicine Circle, Durham, NC 27710-0001 | 2013-11-27 |
| 1700214707 | Kendra Manhertz | Occupational Therapist | 3513 Shady Creek Dr, Durham, NC 27713-8119 | 2013-10-29 |
| Find all providers in DURHAM | ||||
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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.