Organization Active NPI

Summerland Nursing LLC

Doing business as Summerland Nursing

  • Nursing Care Agency
  • Enumclaw, WA
National Provider Identifier
1174905012
Registry record updated Jun 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
License
RN60061590 Issued in WA
Legal business name
SUMMERLAND NURSING LLC
Doing business as
Summerland Nursing
Practice address
2254 Scandia Ave
Enumclaw, WA 98022-4028
Phone
(509) 670-4089
NPI assigned
Jun 28, 2015
Last updated
Jun 28, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2015

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

Authorized official

Name
Elizabeth Chevassus, RNNPI 1528440427
Title
Owner
Phone
(509) 670-4089

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nursing Care Agency 251J00000X RN60061590 WA Primary

Addresses

Primary practice location

2254 Scandia Ave
Enumclaw, WA 98022-4028

Mailing address

2254 Scandia Ave
Enumclaw, WA 98022-4028
Phone (509) 670-4089

Other names 1

  • Summerland Nursing Doing business as

National Provider Directory

National Provider Directory

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1435449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435449600000",
    "number": "1174905012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2254 SCANDIA AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980224028",
            "telephone_number": "509-670-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2254 SCANDIA AVE",
            "city": "ENUMCLAW",
            "state": "WA",
            "postal_code": "980224028",
            "telephone_number": "509-670-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMERLAND NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-28",
        "last_updated": "2015-06-28",
        "status": "A",
        "authorized_official_last_name": "CHEVASSUS",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "509-670-4089",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "WA",
            "license": "RN60061590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Summerland Nursing",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Enumclaw, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2015; 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.