Individual provider Active NPI

Summer Mountjoy Blair, APRN

  • Family Nurse Practitioner
  • Lexington, KY
National Provider Identifier
1245683697
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
3010415 Issued in KY
Practice address
1221 S Broadway
Lexington, KY 40504-2701
Phone
(859) 258-4000
Fax
(859) 258-6203
NPI assigned
Jul 21, 2016
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 3010415 KY Primary

Addresses

Primary practice location

1221 S Broadway
Lexington, KY 40504-2701

Mailing address

1221 S Broadway
Lexington, KY 40504-2701
Phone (859) 258-6200

Other practice location 1

200 Rice St
Wilmore, KY 40390-1359
Phone (859) 858-9355

Other practice location 2

105 Ponder Ct
Suite 104
Danville, KY 40422-9050
Phone (859) 236-4216

Other identifiers 1

IdentifierTypeStateIssuer
7100423020MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160901002377 KY Practitioner - Nurse Practitioner 3870889744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

109 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-3361

120 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

124 Daniel Dr
Danville, KY 40422-2527
Phone (859) 239-5570

130 Daniel Dr
Danville, KY 40422-2527
Phone (859) 236-2222

216 W Walnut St
Danville, KY 40422-1832

217 S 3Rd St
Danville, KY 40422-1823

464 Linden Ave
Harrodsburg, KY 40330-1882
Phone (859) 734-5441

466 Linden Ave
Harrodsburg, KY 40330-1841

470 Linden Ave
Suite B
Harrodsburg, KY 40330-1871
Phone (859) 733-5890

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Jan 1, 2020 Accepting new patients
Ephraim McDowell Health Resource, Inc Family CurrentSince Jan 1, 2020 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Ephraim McDowell Health Resource, Inc. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Sep 25, 2024 Accepting new patients
The James B. Haggin Memorial Hospital Inc Current Accepting new patients
Nick Dedman, MD and Associates, P.S.C. Family Current Accepting new patients
The James B. Haggin Memorial Hospital Inc CurrentSince Sep 25, 2024 Accepting new patients
Empact Midwest LLC Family CurrentSince Sep 1, 2024 Accepting new patients
The James B. Haggin Memorial Hospital Inc Family Past Accepting new patients
Ephraim McDowell Regional Medical Center Incorporated Past Accepting new patients

Locations

105 Ponder Ct
Ste 104
Danville, KY 40422
Phone (859) 236-4216

109 Daniel Dr
Danville, KY 40422
Phone (859) 236-3361

1541 Lebanon Rd
Ste 1
Danville, KY 40422
Phone (859) 236-3208

216 W Walnut St
Ste A
Danville, KY 40422
Phone (859) 239-5870

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1509 Louisville Rd
Harrodsburg, KY 40330
Phone (859) 236-7712

466 Linden Ave
#A
Harrodsburg, KY 40330
Phone (859) 734-5173

110 Metker Trl
Stanford, KY 40484
Phone (606) 365-3360

Interoperability endpoints

  • Direct secure messaging: sblair288536@direct.stlukeshealth.org
  • Direct secure messaging: summerblair@kysjhspe.allscriptsdirect.net

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1245683697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-6200",
            "fax_number": "859-258-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S BROADWAY",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405042701",
            "telephone_number": "859-258-4000",
            "fax_number": "859-258-6203"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Rice St",
            "address_purpose": "LOCATION",
            "city": "Wilmore",
            "state": "KY",
            "postal_code": "403901359",
            "country_code": "US",
            "telephone_number": "859-858-9355",
            "fax_number": "859-858-0416",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Ponder Ct",
            "address_2": "Suite 104",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "KY",
            "postal_code": "404229050",
            "country_code": "US",
            "telephone_number": "859-236-4216",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLAIR",
        "first_name": "SUMMER",
        "middle_name": "MOUNTJOY",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-21",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3010415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100423020",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.