Active NPI
Summer Everett
- Personal Care Attendant
- Fort Worth, TX
National Provider Identifier
1194262030
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 4055 Gatwick CT Apt 1008
Fort Worth, TX 76155-2854 - Phone
- (817) 262-7175
- NPI assigned
- Jan 30, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Companion | 372600000X | |||
| Personal Care Attendant | 3747P1801X | Primary |
Addresses
Primary practice location
4055 Gatwick CT Apt 1008
Fort Worth, TX 76155-2854
Mailing address
4055 Gatwick CT Apt 1008
Fort Worth, TX 76155-2854
Phone (817) 262-7175
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TEXAS | Medicaid | TX | |
| TEXAS | Other | TX | BLUE CROSS BLUE SHEILD |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1485734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485734400000",
"number": "1194262030",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 GATWICK CT APT 1008",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761552854",
"telephone_number": "817-262-7175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 GATWICK CT APT 1008",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761552854",
"telephone_number": "817-262-7175"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVERETT",
"first_name": "SUMMER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-01-30",
"last_updated": "2017-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": null,
"license": null,
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TEXAS",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "TEXAS",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fort Worth, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.