Active NPI
Deanna Willbur Sumner, N.P.
- Adult Health Nurse Practitioner
- Boston, MA
National Provider Identifier
1053389486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 2283160
- Practice address
- 30 Northampton Street
Boston, MA 02118-4010 - Phone
- (617) 433-9601
- Fax
- (617) 445-6538
- NPI assigned
- Mar 10, 2006
- Last updated
- Oct 22, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | ARNP 554212 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | 2283160 | MA | Primary |
Addresses
Primary practice location
30 Northampton Street
Boston, MA 02118-4010
Mailing address
30 Northampton Street
Boston, MA 02118-4010
Phone (617) 433-9601
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 554212 | FL | MD | Adult Health Nurse Practitioner |
| 2283160 | MA | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Levy County Health Department
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1445472000000",
"number": "1053389486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 NORTHAMPTON STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184010",
"telephone_number": "617-433-9601",
"fax_number": "617-445-6538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "30 NORTHAMPTON STREET",
"city": "BOSTON",
"state": "MA",
"postal_code": "021184010",
"telephone_number": "617-433-9601",
"fax_number": "617-445-6538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMNER",
"first_name": "DEANNA",
"middle_name": "WILLBUR",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-10",
"last_updated": "2015-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "ARNP 554212",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MA",
"license": "2283160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.