Active NPI
Kay Summers, R.N
- Hospice Registered Nurse
- Ballwin, MO
National Provider Identifier
1063663086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice Registered Nurse
- License
- 2005034649
- Practice address
- 219 Dale CT
Ballwin, MO 63011-3005 - Phone
- (314) 805-1148
- NPI assigned
- Oct 8, 2008
- Last updated
- Oct 8, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice Registered Nurse | 163WH1000X | 2005034649 | MO | Primary |
Addresses
Primary practice location
219 Dale CT
Ballwin, MO 63011-3005
Mailing address
219 Dale CT
Ballwin, MO 63011-3005
Phone (314) 805-1148
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005034649 | MO | MD | Hospice Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223424000000",
"number": "1063663086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "219 DALE CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113005",
"telephone_number": "314-805-1148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "219 DALE CT",
"city": "BALLWIN",
"state": "MO",
"postal_code": "630113005",
"telephone_number": "314-805-1148"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "KAY",
"credential": "R.N",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-08",
"last_updated": "2008-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "163WH1000X",
"taxonomy_group": "",
"desc": "Registered Nurse, Hospice",
"state": "MO",
"license": "2005034649",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ballwin, MO
- Robert Arthur Strathman, D.D.S.
- Kathryn Street, OTR/L
- Dennis Michael Stremsterfer, RPH
- Leonard R Suiter, DC
- Susan M Sullivan, FNP
- Sundance Rehabilitation Agency, Inc (SunDance Rehabilitation Agency of Missouri)
- Diana Sundara, RN
- Sameera Chandra Surapaneni
- Surgeon's Choice LLC
- Susan Masi Counseling Solutions, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.