Active NPI
Vanessa Brooke Sumner
- Behavior Technician
- Murray, KY
National Provider Identifier
1215623988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- RBT-23-272396
- Practice address
- 208 S 6TH St
Murray, KY 42071-2516 - Phone
- (502) 633-1007
- NPI assigned
- Apr 14, 2023
- 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 |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | RBT-23-272396 | KY | Primary |
Addresses
Primary practice location
208 S 6TH St
Murray, KY 42071-2516
Mailing address
90 Howard Dr
Shelbyville, KY 40065-8138
Phone (502) 633-1007
Other practice location 1
130 Alfredo Dr Ste A
Clarksville, TN 37042-2750
Phone (931) 548-7097
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RBT-23-272396 | KY | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681430400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713398400000",
"number": "1215623988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 HOWARD DR",
"city": "SHELBYVILLE",
"state": "KY",
"postal_code": "400658138",
"telephone_number": "502-633-1007",
"fax_number": "502-805-1511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 S 6TH ST",
"city": "MURRAY",
"state": "KY",
"postal_code": "420712516",
"telephone_number": "502-633-1007"
}
],
"practiceLocations": [
{
"address_1": "130 Alfredo Dr Ste A",
"address_purpose": "LOCATION",
"city": "Clarksville",
"state": "TN",
"postal_code": "370422750",
"country_code": "US",
"telephone_number": "931-548-7097",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUMNER",
"first_name": "VANESSA",
"middle_name": "BROOKE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-14",
"last_updated": "2024-04-18",
"certification_date": "2024-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "KY",
"license": "RBT-23-272396",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Murray, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.