JEANIE SUMMERVILLE (NPI# 1861442352) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861442352 |
| Entity Type | Individual |
| Full Name | JEANIE SUMMERVILLE |
| Other Name | JEANIE SUMMERVILLE GRUENER |
| Credential | ARNP, CNM |
| Practice Address |
3 Shircliff Way Ste 200 Jacksonville FL 32204-4785 |
| Mailing Address |
Po Box 25317 Tampa FL 33622-5317 |
| Practice Telephone | 9043843699 |
| Practice Fax Number | 9043848529 |
| Mailing Telephone | 8132860033 |
| Mailing Fax Number | 8132821806 |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2019-08-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363L00000X | Nurse Practitioner | ARNP3005032 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 367A00000X | Advanced Practice Midwife | ARNP3005032 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 002225300 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2363 Dunn Ave, Jacksonville, FL 322184695 | 9047572234 | 9047572206 |
| Street Address |
3 SHIRCLIFF WAY STE 200 |
| City | JACKSONVILLE |
| State | FL |
| Zip Code | 32204-4785 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073574281 | Annette Laubscher | Obstetrics & Gynecology | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2006-03-29 |
| 1912269564 | Xujia Annie Song Smith | Obstetrics & Gynecology | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2012-06-11 |
| 1205060878 | David Lynn Miller Jr. | Obstetrics & Gynecology | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2009-05-11 |
| 1740464304 | Amy Lee Grant | Physician Assistant | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2007-12-19 |
| 1568428662 | Carol Leanne Browning | Obstetrics & Gynecology | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2006-04-26 |
| 1962464560 | David Scott Wells | Obstetrics & Gynecology | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2006-04-06 |
| 1225090251 | William Hanover Long | Obstetrics & Gynecology | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2006-04-05 |
| 1477515583 | Thomas R. Virtue | Obstetrics & Gynecology | 3 Shircliff Way Ste 200, Jacksonville, FL 32204-4785 | 2006-04-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437719853 | North Florida Surgeons, Pa | Orthopaedic Surgery | 2 Shirlciff Ways, Suite 300, Jacksonville, FL 32204 | 2019-06-18 |
| 1770043531 | Manuel Viado Rosas | Physical Therapist | Bold City Therapy and Wellness LLC, 2054 Park Street, Jacksonville, FL 32204 | 2019-03-20 |
| 1255805172 | Tracie Nickole Singh | Marriage & Family Therapist | 1125 W Beaver Street, Suite 205, Jacksonville, FL 32204 | 2019-01-14 |
| 1427548544 | Bold City Therapy and Wellness LLC | Clinic/Center | 2054 Park Street, Jacksonville, FL 32204 | 2018-05-14 |
| 1356883078 | Lcn Enterprise, LLC | Case Manager/Care Coordinator | 1225 W Beaver St Ste 106, Jacksonville, FL 32204 | 2016-11-11 |
| 1073065082 | Prosser and Prosser LLC | Non-emergency Medical Transport (VAN) | 2120 Ernest St, Jacksonville, FL 32204 | 2016-10-26 |
| 1336529817 | Nader Daoud | Internal Medicine | 1 Shircliffway, Jacksonville, FL 32204 | 2015-06-01 |
| 1194119214 | Benjamin James Dionne | Internal Medicine | 2 Shircliff Way Ste 400, Jacksonville, FL 32204 | 2015-03-26 |
| 1598187932 | Jamara Stephens | Counselor | 1225 W Beaver St Ste 205, Jacksonville, FL 32204 | 2014-01-18 |
| 1154743961 | Kathleen Jasper | Nurse Anesthetist, Certified Registered | 2165 Herschel Street, Jacksonville, FL 32204 | 2014-01-14 |
| Find all providers in zip 32204 | ||||
| Taxonomy Code | 367A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Advanced Practice Midwife |
| Midwifery practice as conducted by certified nurse-midwives (CNMs) and certified midwives (CMs) is the independent management of women's health care, focusing particularly on pregnancy, childbirth, the post partum period, care of the newborn, and the family planning and gynecologic needs of women. The CNM and CM practice within a health care system that provides for consultation, collaborative management, or referral, as indicated by the health status of the client. CNMs and CMs practice in accord with the Standards for the Practice of Midwifery, as defined by the American College of Nurse-Midwives (ACNM). |
| Notes: Source: American College of Nurse-Midwives, 2008 [7/1/2008: title changed, defintion changed, source changed] Additional Resources: American College of Nurse-Midwives www.acnm.org. The American Midwifery Certification Board, Inc. [AMCB, formerly the ACNM Certification Council, Inc. (ACC)] opened its national certification exam to non-nurse graduates of midwifery education programs and issued the first certified midwife (CM) credential in 1997. Certified midwives are educated to meet the same high standards that certified nurse-midwives must meet. These are the standards that every state in the U.S. has recognized as the legal basis for nurse-midwifery practice. All education programs for CMs, like CNMs, award a post-baccalaureate certificate or higher degree. CMs take the same AMCB certification exam as CNMs and study side by side with nurse-midwifery students in some education programs. As an organization, ACNM supports efforts to legally recognize CMs as qualified midwifery practitioners granted the same rights and responsibilities as CNMs. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912325333 | Gustava Townsend Zimmer | Advanced Practice Midwife | 4203 Belfort Rd Ste 204, Jacksonville, FL 32216-1463 | 2014-04-02 |
| 1346259066 | Bougainvilla T Bailey | Advanced Practice Midwife | 1760 Edgewood Ave., West, Jacksonville, FL 32208 | 2006-08-05 |
| 1891746459 | Lila K Choulat | Advanced Practice Midwife | 1780 W 45th St, Suite 1, Jacksonville, FL 32209-3195 | 2006-05-16 |
| 1851394316 | Janis K Cox | Advanced Practice Midwife | 250 Memorial Dr, Jacksonville, NC 28546-6332 | 2005-05-27 |
| 1023634003 | Jamie Leann Neal | Advanced Practice Midwife | 11945 San Jose Blvd Ste 400, Jacksonville, FL 32223-1627 | 2020-06-24 |
| 1003393166 | Whitney A Rapp | Advanced Practice Midwife | 655 W 8th St, Jacksonville, FL 32209-6511 | 2018-07-23 |
| 1417479023 | Amanda Rose Carryl | Advanced Practice Midwife | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2017-07-14 |
| 1578015095 | Katherine Washburn | Advanced Practice Midwife | 15255 Max Leggett Pkwy Ste 4400, Jacksonville, FL 32218-7273 | 2016-11-01 |
| 1265820757 | Kim Faust | Advanced Practice Midwife | 6871 Belfort Oaks Pl, Jacksonville, FL 32216-6242 | 2015-01-06 |
| 1477969442 | Catalina Maria Valencia | Advanced Practice Midwife | 245 Memorial Dr, Jacksonville, NC 28546-6333 | 2014-07-10 |
| Find all providers in JACKSONVILLE | ||||
| City | JACKSONVILLE |
| Zip Code | 32204 |
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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.