MS. SUMMER BROGDON (NPI# 1730495714) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730495714 |
| Entity Type | Individual |
| Full Name | MS. SUMMER BROGDON |
| Practice Address |
2612 Dutch Grove Cir. Raleigh NC 27610-4391 |
| Mailing Address |
2612 Dutch Grove Cir Raleigh NC 27610-4391 |
| Practice Telephone | 9198009207 |
| Mailing Telephone | 9198009207 |
| Enumeration Date | 2010-08-27 |
| Last Update Date | 2010-08-27 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 69885 | NC | Nursing Service Providers |
| Street Address |
2612 DUTCH GROVE CIR. |
| City | RALEIGH |
| State | NC |
| Zip Code | 27610-4391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609499243 | Elizabeth Ranganai Mavindidze | Social Worker | Wakemed Health and Hospitals, 3000 New Bern Avenue, Raleigh, NC 27610 | 2020-05-18 |
| 1851958839 | Alex & Associates, P.C. | Dentist | 1600 Cross Link Road, Unit 103, Raleigh, NC 27610 | 2019-05-24 |
| 1639646367 | Carol Mary Medins | Dietitian, Registered | Wakemed Raleigh Medical Park, 23 Sunnybrook Road, Suite 200, Raleigh, NC 27610 | 2018-10-31 |
| 1144714601 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 123 Sunnybrook Rd Ste 150, Raleigh, NC 27610 | 2018-06-19 |
| 1417446006 | Eagles Eye Lab, Inc | Clinical Medical Laboratory | 4501 New Bern Ave, Ste: 130, Raleigh, NC 27610 | 2018-05-09 |
| 1316465206 | Jeffery King Neer | Social Worker | 3010 Falstaff Rd., C/o Unc Actt, Raleigh, NC 27610 | 2017-08-31 |
| 1083139885 | Kelsey Daniel Mccleave | Social Worker | 3630 Enduring Freedom Drive, Raleigh, NC 27610 | 2017-08-14 |
| 1891219093 | Tarheel Residential Services | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 4840 Quarryman Road, Raleigh, NC 27610 | 2017-07-29 |
| 1508214826 | Compassionate Care Providers LLC | Respite Care | 5110 Wetlands, Raleigh, NC 27610 | 2016-05-26 |
| 1730552530 | Matthew Belair | Pharmacist | 1601-51 Cross Link Rd, Raleigh, NC 27610 | 2015-11-03 |
| Find all providers in zip 27610 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720602808 | Nancy Parris | Licensed Practical Nurse | 1640 Hedingham Blvd Ste C, Raleigh, NC 27604-8313 | 2020-06-03 |
| 1962953844 | Holly Christy Smith | Licensed Practical Nurse | 2621 Calliope Way, Apt. 104, Raleigh, NC 27616-5138 | 2016-10-17 |
| 1376097907 | Tara Dunsmore | Licensed Practical Nurse | 2304 Wesvill Ct Ste 310, Raleigh, NC 27607-2973 | 2016-08-11 |
| 1164878823 | Latrella Smith | Licensed Practical Nurse | 109 Farris Ct Apt 105, Raleigh, NC 27610-2466 | 2016-05-11 |
| 1790167286 | Tomekia Golson | Licensed Practical Nurse | 3501 Enduring Freedom Dr, Raleigh, NC 27610-5595 | 2015-06-22 |
| 1841678398 | Charity Lundberg | Licensed Practical Nurse | 5725 Riverford Dr, Raleigh, NC 27616-6075 | 2015-05-15 |
| 1053735522 | Shawnda Pool Overton | Licensed Practical Nurse | 7723 Averette Field Dr, Raleigh, NC 27616-5156 | 2014-02-04 |
| 1831459049 | Momolu Hoff | Licensed Practical Nurse | 4470 Snowcrest Ln, Raleigh, NC 27616-8839 | 2012-05-22 |
| 1598075962 | Yolanda Faye Brothers | Licensed Practical Nurse | 4107 Triana Court, Raleigh, NC 27610-6483 | 2010-10-19 |
| 1770810434 | Tremika Salters | Licensed Practical Nurse | 4021 Bella Park Trail, Apt 229, Raleigh, NC 27613 | 2009-11-17 |
| Find all providers in RALEIGH | ||||
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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.