Individual provider Active NPI

Elizabeth Anne Summerhayes, R.N.,N.P.

  • Adult Health Nurse Practitioner
  • Lafayette, CA
National Provider Identifier
1285182550
Registry record updated Sep 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
M250673 Issued in CA
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

Updated by the provider on Sep 29, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
M250673CAMDCommunity 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.

Verify at the official NPI Registry.