SUMMYJI GROOM (NPI# 1508427170) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1508427170 |
Entity Type | Individual |
Full Name | SUMMYJI GROOM |
Practice Address |
233 Winton M Blount Loop Montgomery AL 36117-3507 |
Mailing Address |
940b Gilbert Ferry Rd Se Attalla AL 35954-3338 |
Practice Telephone | 2567810200 |
Mailing Telephone | 2057810200 |
Enumeration Date | 2019-06-25 |
Last Update Date | 2019-07-22 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
1-131786 | AL | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
233 WINTON M BLOUNT LOOP |
City | MONTGOMERY |
State | AL |
Zip Code | 36117-3507 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861580672 | Paul Gerard Larussa | Psychiatry & Neurology | 233 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2006-10-10 |
1336637347 | Megan Traffanstedt | Counselor | 233 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2018-04-25 |
1609394089 | Meredith Sawyer Nunley | Nurse Practitioner | 233 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2017-09-06 |
1245779974 | Ann B Madsen | Registered Nurse | 233 Winton M Blount Loop, Montgomery, AL 36117-3507 | 2017-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568061307 | Bhg Lxxiii, LLC | Clinic/Center | 1714 Platt Place, Montgomery, AL 36117 | 2020-10-22 |
1952945602 | East Montgomery Pediatrics LLC | Pediatrics | 337 St Lukes Drive, Montgomery, AL 36117 | 2019-11-05 |
1417421496 | Tiffany Webb | Specialist | 411 Twain Curve, E, Montgomey, AL 36117 | 2019-01-14 |
1013485374 | Montgomery Orthodontic Specialists | Dentist | 5833 Carmichael Road, Montgomery, AL 36117 | 2018-11-05 |
1770050791 | Blair Henderson Parks | Speech-Language Pathologist | 7088 University Court, Montgomery, AL 36117 | 2018-10-29 |
1629557822 | Evelyn F Crayton | Dietitian, Registered | 124 Elm Dr, Montgomery, AL 36117 | 2018-08-08 |
1194203414 | Coopers Mental Healh Consultations | Psychologist | 8743 Ridgestone Ct, Montgomery, AL 36117 | 2018-07-30 |
1063912301 | Gardenia Cove Mental Health PC | Psychiatry & Neurology | 6771 Taylor Circle, Montgomery, AL 36117 | 2018-02-13 |
1760900294 | Montgomery Auburn Homecare LLC | In Home Supportive Care | 2569 Bell Rd, Montgomery, AL 36117 | 2017-09-05 |
1336667120 | Alyssa Bryanna Swisher | Chiropractor | 2026 Berryhill Road, Montgomery, AL 36117 | 2017-09-01 |
Find all providers in zip 36117 |
Taxonomy Code | 363LP0808X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Psych/Mental Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548821234 | Tina Jacques | Nurse Practitioner | 132 Carrington Rd, Montgomery, MA 01050-9789 | 2019-06-24 |
1528526704 | Deangelo Cartez Cooper | Nurse Practitioner | 4371 Narrow Lane Rd Ste 205, Montgomery, AL 36116-2975 | 2019-03-07 |
1063034320 | Carine Laure Djuidje | Nurse Practitioner | 4385 Narrow Lane Rd, Montgomery, AL 36116-2978 | 2020-05-09 |
1780218818 | Nicole Dean | Nurse Practitioner | 215 Perry Hill Rd, Montgomery, AL 36109-3725 | 2020-02-27 |
1760015374 | Julie Anne Bond | Nurse Practitioner | 7125 University Ct, Montgomery, AL 36117-8016 | 2020-02-21 |
1932740032 | Sharon Ford | Nurse Practitioner | 215 Perry Hill Road, Montgomery, AL 36109 | 2019-10-01 |
1275186843 | John Caleb Walker | Nurse Practitioner | 300 Twining St, Montgomery, AL 36112-6027 | 2019-07-22 |
1952878340 | Rachel Liner | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117 | 2018-10-24 |
1073003018 | Cicely Baugh Hooten | Nurse Practitioner | 7085 Sydney Curv, Montgomery, AL 36117-3509 | 2018-05-15 |
1861931255 | Leticia Mccrary | Nurse Practitioner | 1331 Old Oak Place, Montgomery, AL 36117 | 2017-02-17 |
Find all providers in MONTGOMERY |
City | MONTGOMERY |
Zip Code | 36117 |
Please comment or provide details below to improve the information on SUMMYJI GROOM.
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.