Active NPI
Sarah Rebecca Summy, CCC-SLP
- Speech-Language Pathologist
- Tallahassee, FL
National Provider Identifier
1265999015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 16953
- Practice address
- 2711 Capital Medical Blvd Ste E
Tallahassee, FL 32308-4446 - Phone
- (850) 322-8709
- NPI assigned
- Feb 28, 2019
- Last updated
- Feb 28, 2019
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 16953 | FL | Primary |
Addresses
Primary practice location
2711 Capital Medical Blvd Ste E
Tallahassee, FL 32308-4446
Mailing address
2711 Capital Medical Blvd Ste E
Tallahassee, FL 32308-4446
Phone (850) 322-8709
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 |
|---|---|---|---|
| 16953 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551312000000",
"number": "1265999015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2711 CAPITAL MEDICAL BLVD STE E",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084446",
"telephone_number": "850-322-8709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2711 CAPITAL MEDICAL BLVD STE E",
"city": "TALLAHASSEE",
"state": "FL",
"postal_code": "323084446",
"telephone_number": "850-322-8709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMY",
"first_name": "SARAH",
"middle_name": "REBECCA",
"name_prefix": "Mrs.",
"credential": "CCC-SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-02-28",
"last_updated": "2019-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "16953",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tallahassee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.