Individual provider Active NPI

Jamie Summers, FNP-C

  • Family Nurse Practitioner
  • Lubbock, TX
National Provider Identifier
1114697869
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1047542 Issued in TX
Practice address
4401 82ND St
Lubbock, TX 79424-3344
Phone
(806) 407-8398
NPI assigned
Sep 15, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X 1047542 TX Primary

Addresses

Primary practice location

4401 82ND St
Lubbock, TX 79424-3344

Mailing address

7218 91St St
Lubbock, TX 79424-8912
Phone (806) 407-8398

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Lubbock

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220517000227 TX Practitioner - Nurse Practitioner 5991182750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
LFM AssociatesGroup PAC ID 4082020086, 12 clinicians

Practice addresses (Care Compare)

7008 Indiana Ave
Suite a
Lubbock, TX 79413-6138
Phone (806) 698-8088

Hospital & facility affiliations

  • Covenant Childrens Hospital Hospital, Lubbock, TX, CCN 453306

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1047542TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
LFM Associates Single Specialty CurrentSince Jan 4, 2023 Accepting new patients
Rodney T Franklin, MD, PA Single Specialty Past Accepting new patients

Locations

5224 75th St
Ste D
Lubbock, TX 79424
Phone (806) 791-0042

7008 Indiana Ave
Ste A
Lubbock, TX 79413
Phone (806) 698-8088

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1631664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1114697869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7218 91ST ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794248912",
            "telephone_number": "806-407-8398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 82ND ST",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794243344",
            "telephone_number": "806-407-8398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JAMIE",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-15",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1047542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Lubbock",
            "affiliation": "N",
            "address_1": "4401 82nd St",
            "city": "Lubbock",
            "state": "TX",
            "country_code": "US",
            "postal_code": "794243344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.