Active NPI
Ellen Summers, RN
- Registered Nurse
- Burien, WA
National Provider Identifier
1174098644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- RN00073340
- Practice address
- 1210 SW 136TH St
Burien, WA 98166-1214 - Phone
- (206) 257-6600
- Fax
- (206) 257-6830
- NPI assigned
- Oct 10, 2018
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN00073340 | WA | Primary |
Addresses
Primary practice location
1210 SW 136TH St
Burien, WA 98166-1214
Mailing address
15035 8TH Ave S
Burien, WA 98148-1112
Phone (206) 241-3119
Other practice location 1
2600 SW Holden St
Seattle, WA 98126-3505
Phone (206) 933-7000
Other practice location 2
15035 8th Ave S
Burien, WA 98148-1112
Phone (206) 241-3119
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
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN00073340 | WA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1539129600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539129600000",
"number": "1174098644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15035 8TH AVE S",
"city": "BURIEN",
"state": "WA",
"postal_code": "981481112",
"telephone_number": "206-241-3119",
"fax_number": "206-241-0184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1210 SW 136TH ST",
"city": "BURIEN",
"state": "WA",
"postal_code": "981661214",
"telephone_number": "206-257-6600",
"fax_number": "206-257-6830"
}
],
"practiceLocations": [
{
"address_1": "2600 SW Holden St",
"address_purpose": "LOCATION",
"city": "Seattle",
"state": "WA",
"postal_code": "981263505",
"country_code": "US",
"telephone_number": "206-933-7000",
"fax_number": "206-933-7101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "15035 8th Ave S",
"address_purpose": "LOCATION",
"city": "Burien",
"state": "WA",
"postal_code": "981481112",
"country_code": "US",
"telephone_number": "206-241-3119",
"fax_number": "206-241-0184",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMMERS",
"first_name": "ELLEN",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-10-10",
"last_updated": "2018-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "WA",
"license": "RN00073340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burien, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.