Individual provider Active NPI

Frank A Sumner, GNP

  • Adult Health Nurse Practitioner
  • Rochester, NY
National Provider Identifier
1104960731
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
340661 Issued in NY
Practice address
105 Canal Landing Blvd
Suite 1
Rochester, NY 14626-5107
Phone
(585) 368-4050
Fax
(585) 723-6705
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 340661 NY Primary

Addresses

Primary practice location

105 Canal Landing Blvd
Suite 1
Rochester, NY 14626-5107

Mailing address

105 Canal Landing Blvd
Suite 1
Rochester, NY 14626-5107
Phone (585) 368-4050

Other identifiers 2

IdentifierTypeStateIssuer
02871098MedicaidNY
P00831445OtherNYMEDICARE RAILROAD

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

LicenseStateTypeSpecialty
340661NYMDLicensed Practical Nurse

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1104960731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 CANAL LANDING BLVD",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265107",
            "telephone_number": "585-368-4050",
            "fax_number": "585-723-6705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 CANAL LANDING BLVD",
            "address_2": "SUITE 1",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146265107",
            "telephone_number": "585-368-4050",
            "fax_number": "585-723-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMNER",
        "first_name": "FRANK",
        "middle_name": "A",
        "credential": "GNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "340661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02871098",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00831445",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.