Active NPI
Summelong Stanley Sone, RN
- Psychiatric/Mental Health Nurse Practitioner
- Canal Winchester, OH
National Provider Identifier
1134351497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 0032581
- Practice address
- 6267 Vincent George Dr
Canal Winchester, OH 43110-8258 - Phone
- (740) 591-7183
- NPI assigned
- Aug 19, 2009
- Last updated
- Jul 22, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 0032581 | OH | Primary |
| Registered Nurse | 163W00000X | 350126 | OH |
Addresses
Primary practice location
6267 Vincent George Dr
Canal Winchester, OH 43110-8258
Mailing address
6267 Vincent George Dr
Canal Winchester, OH 43110-8258
Phone (740) 591-7183
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 350126 | OH | MD | Registered Nurse |
| 0032581 | OH | MD | Psychiatric/Mental Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vendson Healthcare Services LLC | Current | Accepting new patients | |
| Emade Home Healthcare LLC | Current | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Nursing Care Agency
- Canal Winchester, OH
- NPI 1255142998
-
- Home Health Agency
- Westerville, OH
- NPI 1174126221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1250640000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721606400000",
"number": "1134351497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6267 VINCENT GEORGE DR",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431108258",
"telephone_number": "740-591-7183"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6267 VINCENT GEORGE DR",
"city": "CANAL WINCHESTER",
"state": "OH",
"postal_code": "431108258",
"telephone_number": "740-591-7183"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONE",
"first_name": "SUMMELONG",
"middle_name": "STANLEY",
"credential": "RN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-08-19",
"last_updated": "2024-07-22",
"certification_date": "2024-07-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "OH",
"license": "0032581",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "OH",
"license": "350126",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Canal Winchester, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.