Active NPI
Summer Ann Kirtley, NP, CNS
- Pediatric Nurse Practitioner
- San Diego, CA
National Provider Identifier
1154059830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 21777
- Practice address
- 200 W Arbor Dr # 8929
San Diego, CA 92103-1911 - Phone
- (909) 319-3324
- NPI assigned
- Aug 10, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Registered Nurse | 163WP0200X | 639490 | CA | |
| Pediatric Clinical Nurse Specialist | 364SP0200X | 4447 | CA | |
| Pediatric Nurse Practitioner | 363LP0200X | 21777 | CA | Primary |
Addresses
Primary practice location
200 W Arbor Dr # 8929
San Diego, CA 92103-1911
Mailing address
1444 Main St Unit 1585
Ramona, CA 92065-8153
Phone (909) 319-3324
Other names 1
- Summer Ann Morgan
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
- Certified Nurse Specialist, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 639490 | CA | MD | Pediatric Registered Nurse |
| 4447 | CA | MD | Pediatric Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1660089600000",
"number": "1154059830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1444 MAIN ST UNIT 1585",
"city": "RAMONA",
"state": "CA",
"postal_code": "920658153",
"telephone_number": "909-319-3324"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 W ARBOR DR # 8929",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921031911",
"telephone_number": "909-319-3324"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRTLEY",
"first_name": "SUMMER",
"middle_name": "ANN",
"credential": "NP, CNS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-10",
"last_updated": "2022-08-10",
"certification_date": "2022-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "CA",
"license": "639490",
"primary": false
},
{
"code": "364SP0200X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Pediatrics",
"state": "CA",
"license": "4447",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "CA",
"license": "21777",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SUMMER",
"last_name": "MORGAN",
"middle_name": "ANN",
"credential": "NP, CNS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.