Organization Active NPI

Summit Health Care, Inc

  • Primary Care Nurse Practitioner
  • Terra Alta, WV
National Provider Identifier
1033481585
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
27929 Issued in WV
Legal business name
SUMMIT HEALTH CARE, INC
Practice address
31452 Veterans Memorial Hwy
Terra Alta, WV 26764-9715
Phone
(304) 290-7508
Fax
(304) 789-3195
NPI assigned
Jan 30, 2012
Last updated
Jan 30, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Mary Ann Whitehair, CRNPNPI 1932143054
Title
Owner
Phone
(304) 290-7508

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 27929 WV Primary
Women's Health Nurse Practitioner 363LW0102X 30529 WV

Addresses

Primary practice location

31452 Veterans Memorial Hwy
Terra Alta, WV 26764-9715

Mailing address

31452 Veterans Memorial Hwy
Terra Alta, WV 26764-9715
Phone (304) 290-7508

National Provider Directory

National Provider Directory

Locations

31452 Veterans Memorial Hwy
Terra Alta, WV 26764
Phone (301) 334-7855

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1327881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1327881600000",
    "number": "1033481585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31452 VETERANS MEMORIAL HWY",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267649715",
            "telephone_number": "304-290-7508",
            "fax_number": "304-789-3195"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31452 VETERANS MEMORIAL HWY",
            "city": "TERRA ALTA",
            "state": "WV",
            "postal_code": "267649715",
            "telephone_number": "304-290-7508",
            "fax_number": "304-789-3195"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT HEALTH CARE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-30",
        "last_updated": "2012-01-30",
        "status": "A",
        "authorized_official_last_name": "WHITEHAIR",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "304-290-7508",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CRNP"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "WV",
            "license": "27929",
            "primary": true
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "WV",
            "license": "30529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Terra Alta, WV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.