Active NPI
Summit Medical Providers LLC
- General Practice Physician
- Eagle, ID
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- Legal business name
- SUMMIT MEDICAL PROVIDERS LLC
- Practice address
- 2205 E Riverside Dr
Eagle, ID 83616-7620 - Phone
- (801) 867-9760
- Fax
- (801) 880-4400
- NPI assigned
- Oct 7, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rachel Fletcher
- Title
- Owner
- Phone
- (801) 867-9760
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | Primary |
Addresses
Primary practice location
2205 E Riverside Dr
Eagle, ID 83616-7620
Mailing address
2205 E Riverside Dr
Eagle, ID 83616-7620
Phone (801) 867-9760
National Provider Directory
National Provider DirectoryLocations
2205 E Riverside Dr
Eagle, ID 83616
Phone (801) 867-9760
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Roy, UT
- NPI 1679143150
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1164397410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2205 E RIVERSIDE DR",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167620",
"telephone_number": "801-867-9760",
"fax_number": "801-880-4400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 E RIVERSIDE DR",
"city": "EAGLE",
"state": "ID",
"postal_code": "836167620",
"telephone_number": "801-867-9760",
"fax_number": "801-880-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT MEDICAL PROVIDERS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "FLETCHER",
"authorized_official_first_name": "RACHEL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "801-867-9760"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Eagle, ID
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.