Individual provider Active NPI

Ellen Summers, RN

  • Registered Nurse
  • Burien, WA
National Provider Identifier
1174098644
Registry record updated Oct 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN00073340 Issued in WA
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

Updated by the provider on Oct 10, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
RN00073340WAMDRegistered 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.

Verify at the official NPI Registry.