Active NPI
Nancy Summers
- Diabetes Educator Registered Nurse
- Tualatin, OR
National Provider Identifier
1134579212
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diabetes Educator Registered Nurse
- License
- 095006549RN
- Practice address
- 19875 SW 65TH Ave
Suite 100
Tualatin, OR 97062-8353 - Phone
- (503) 756-1080
- Fax
- (503) 692-6702
- NPI assigned
- Jun 20, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diabetes Educator Registered Nurse | 163WD0400X | 095006549RN | OR | Primary |
Addresses
Primary practice location
19875 SW 65TH Ave
Suite 100
Tualatin, OR 97062-8353
Mailing address
19875 SW 65TH Ave
Suite 100
Tualatin, OR 97062-8353
Phone (503) 756-1080
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095006549RN | OR | MD | Diabetes Educator Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1466380800000",
"number": "1134579212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19875 SW 65TH AVE",
"address_2": "SUITE 100",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628353",
"telephone_number": "503-756-1080",
"fax_number": "503-692-6702"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19875 SW 65TH AVE",
"address_2": "SUITE 100",
"city": "TUALATIN",
"state": "OR",
"postal_code": "970628353",
"telephone_number": "503-756-1080",
"fax_number": "503-692-6702"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-20",
"last_updated": "2016-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "163WD0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Diabetes Educator",
"state": "OR",
"license": "095006549RN",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tualatin, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 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.