SAVANNAH SUMMERS (NPI# 1972119295) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972119295 |
Entity Type | Individual |
Full Name | SAVANNAH SUMMERS |
Credential | APRN |
Practice Address |
1505 Winterbrook Dr Conway AR 72034-3564 |
Mailing Address |
Po Box 9178 Russellville AR 72811-9178 |
Practice Telephone | 4794986747 |
Practice Fax Number | 4799681673 |
Mailing Telephone | 8554986767 |
Mailing Fax Number | 4799681673 |
Enumeration Date | 2020-09-22 |
Last Update Date | 2020-09-22 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
124513 | AR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144868985 | Savannah Lea Summers | Behavior Technician | 501 W Broadway Ste 800, San Diego, CA 92101-3546 | 2019-12-11 |
Street Address |
1505 WINTERBROOK DR |
City | CONWAY |
State | AR |
Zip Code | 72034-3564 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316566607 | Shannon Busby | Nurse Practitioner | 1505 Winterbrook Dr, Conway, AR 72034-3564 | 2020-04-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013563758 | Shelby M Perez | Case Manager/Care Coordinator | 3240 Stermer Rd, Conway, AR 72034 | 2019-08-16 |
1467932772 | Faith J Parfait | Licensed Practical Nurse | 1352 Watkins St, Conway, AR 72034 | 2018-08-16 |
1043790611 | David Adam Steinfeld | Nurse Practitioner | 855 S German Ln Ste 1, Conway, AR 72034 | 2018-08-14 |
1245728484 | Conway Behavioral Health, LLC | Psychiatry & Neurology | 2255 Sturgis Rd, Conway, AR 72034 | 2018-04-24 |
1972007292 | Eldercare of Arkansas IIi, Inc. | Assisted Living Facility | 1306 S. Donaghey, Conway, AR 72034 | 2018-03-21 |
1528561404 | Kouhei Kobayashi | Specialist/Technologist | 2201 Moix Blvd., Apt. 908, Conway, AR 72034 | 2018-03-16 |
1780191015 | Sydnie Thessing | Nurse Practitioner | 605 Dave Ward Drive #105, Conway, AR 72034 | 2018-01-09 |
1508371865 | Ebony Latreace Charleston | Case Manager/Care Coordinator | 3240 Stermer Road, Conway, AR 72034 | 2017-12-08 |
1689190647 | Denise Annette Aikman | Dentist | 1210 Hogan Lane, Suite 200, Conway, AR 72034 | 2017-08-21 |
1134669138 | Hortons Orthotic Lab, Inc. | Prosthetic/Orthotic Supplier | 635 Dave Ward, Suite 103, Conway, AR 72034 | 2017-02-24 |
Find all providers in zip 72034 |
Taxonomy Code | 363LG0600X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Gerontology |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558822791 | Kathleen Idella-robichaud Vasquez | Nurse Practitioner | 625 United Dr Ste 120, Conway, AR 72032-7827 | 2019-03-29 |
1588760334 | Sarah A. Thornton | Nurse Practitioner | 201 Donaghey Ave, Dhsc 226 J, Conway, AR 72035-5001 | 2006-09-16 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205451853 | Quynh Chau Bao Wang | Nurse Practitioner | 1024 Boulder Dr, Little Rock, AR 72210-4789 | 2020-06-10 |
1881233914 | Barbara Faye Ellis | Nurse Practitioner | 4250 Brewer Rd, Edgemont, AR 72044-9539 | 2020-01-07 |
1154964559 | Latoya Danielle Young | Nurse Practitioner | 1413 Sweetgum Ln, North Little Rock, AR 72117-9740 | 2019-10-18 |
1932754942 | Amy Cooper | Nurse Practitioner | 14309 Cantrell Rd Ste 7, Little Rock, AR 72223-4230 | 2019-08-06 |
1548827066 | Melonie Ann Cook | Nurse Practitioner | 1407 Jennifer St, Springdale, AR 72762-2091 | 2019-05-20 |
1659851400 | Lorena Aimee Padilla | Nurse Practitioner | 3003 Napa Ln, Springdale, AR 72764-7818 | 2018-08-20 |
1427535673 | Michelle D. Joyner | Nurse Practitioner | 398 Honey Hill Loop, Searcy, AR 72143-9170 | 2018-07-20 |
1679012504 | Lerizza D Nunag | Nurse Practitioner | 2540 State Highway 388, Gould, AR 71643-9634 | 2017-02-13 |
1407203425 | Katherine Antoinette Robertson | Nurse Practitioner | 1307 Trinity Blvd, Texarkana, AR 71854-8310 | 2016-05-19 |
1457716029 | Chasta Mandy Barbee-lumpkin | Nurse Practitioner | 609 Sw 8th St Fl 6, Bentonville, AR 72712-7886 | 2015-12-23 |
Find all providers with the same taxonomy |
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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.