Active NPI
Sommer Porch
- Family Nurse Practitioner
- Scottsboro, AL
National Provider Identifier
1306201611
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-090211
- Practice address
- 1302 S Broad St
Scottsboro, AL 35768-2605 - Phone
- (256) 218-4080
- NPI assigned
- Dec 31, 2015
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-090211 | AL | Primary |
Addresses
Primary practice location
1302 S Broad St
Scottsboro, AL 35768-2605
Mailing address
1302 S Broad St
Scottsboro, AL 35768-2605
Phone (256) 218-4080
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200714000313 | AL | Practitioner - Nurse Practitioner | 2961825922 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Huntsville Hospital Spine and Neuro Center
Practice addresses (Care Compare)
201 Governors Dr SW
FL 1
Huntsville, AL 35801-5171
Phone (256) 533-1600
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Huntsville Hospital Spine and Neuro Center | Current | Accepting new patients | |
| Scottsboro Pediatrics PC | Past | Accepting new patients | |
| Scottsboro Family Physicians PC | Past | Accepting new patients |
Locations
402 E Dr Hicks Blvd
Florence, AL 35630
Phone (256) 349-5187
201 Governors Dr SW
Fl 1
Huntsville, AL 35801
Phone (256) 533-8100
Interoperability endpoints
- https://api.platform.athenahealth.com/7879/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Scottsboro, AL
- NPI 1639362239
-
- Primary Care Clinic/Center
- Scottsboro, AL
- NPI 1376966416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1451520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589328000000",
"number": "1306201611",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1302 S BROAD ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682605",
"telephone_number": "256-218-4080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1302 S BROAD ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682605",
"telephone_number": "256-218-4080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORCH",
"first_name": "SOMMER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-31",
"last_updated": "2020-05-13",
"certification_date": "2020-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-090211",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Scottsboro, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.