Active NPI
Elizabeth Anne Summerhayes, R.N.,N.P.
- Adult Health Nurse Practitioner
- Lafayette, CA
National Provider Identifier
1285182550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- M250673
- Practice address
- 3542 Oconner Dr
Lafayette, CA 94549-4933 - Phone
- (408) 315-9738
- NPI assigned
- Sep 15, 2016
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | M250673 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | M250673 | CA | Primary |
| Women's Health Nurse Practitioner | 363LW0102X | M250673 | CA |
Addresses
Primary practice location
3542 Oconner Dr
Lafayette, CA 94549-4933
Mailing address
3542 Oconner Dr
Lafayette, CA 94549-4933
Phone (408) 315-9738
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
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M250673 | CA | MD | Community Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475107200000",
"number": "1285182550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3542 OCONNER DR",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494933",
"telephone_number": "408-315-9738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3542 OCONNER DR",
"city": "LAFAYETTE",
"state": "CA",
"postal_code": "945494933",
"telephone_number": "408-315-9738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERHAYES",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "R.N.,N.P.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2016-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Community Health",
"state": "CA",
"license": "M250673",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "M250673",
"primary": true
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "CA",
"license": "M250673",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lafayette, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.