Active NPI
Julia Redditt Summerlin, RN, MSN, CS, LMFT
- Psychiatric/Mental Health Registered Nurse
- Fairhope, AL
National Provider Identifier
1245249358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Registered Nurse
- License
- 1-027218
- Practice address
- 50 South Greeno Rd
Fairhope, AL 36533-0414 - Phone
- (251) 928-1658
- Fax
- (251) 928-1371
- NPI assigned
- Aug 7, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 219 | AL | |
| Psychiatric/Mental Health Registered Nurse | 163WP0808X | 1-027218 | AL | Primary |
Addresses
Primary practice location
50 South Greeno Rd
Fairhope, AL 36533-0414
Mailing address
50 S Greeno Rd
Fairhope, AL 36532-2069
Phone (251) 928-1658
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
- Master of Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 219 | AL | MD | Marriage & Family Therapist |
| 1-027218 | AL | MD | Psychiatric/Mental Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| East Bay Counseling Center, Inc | Marriage & Family Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Marriage & Family Therapist
- Fairhope, AL
- NPI 1558531855
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374192000000",
"number": "1245249358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 S GREENO RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365322069",
"telephone_number": "251-928-1658",
"fax_number": "251-928-1371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 SOUTH GREENO RD",
"city": "FAIRHOPE",
"state": "AL",
"postal_code": "365330414",
"telephone_number": "251-928-1658",
"fax_number": "251-928-1371"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERLIN",
"first_name": "JULIA",
"middle_name": "REDDITT",
"name_prefix": "Mrs.",
"credential": "RN, MSN, CS, LMFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-07",
"last_updated": "2013-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "AL",
"license": "219",
"primary": false
},
{
"code": "163WP0808X",
"taxonomy_group": "",
"desc": "Registered Nurse, Psychiatric/Mental Health",
"state": "AL",
"license": "1-027218",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairhope, AL
- Caitlin Sudduth, SLP
- Tamatha Sullivan Davidson, MCD CCCA
- Meredith Stewart Sullivan, MSOT, OTR/L
- William F Sullivan, MD
- Joan R Sulzmann, MSW
- Robert A Sumner Jr., ATC
- Sunbridge Home Health Care, Inc.
- Sundial Counseling Center, LLC
- Sunset Sleep and Wellness Center
- Surgical Associates of Eastern Shore PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.