Active NPI
Hope Jamia Summerall
- Prosthetic/Orthotic Supplier
- Bunnell, FL
National Provider Identifier
1326767757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- C401K5KWZ4
- Practice address
- 401 S State St Unit C
Bunnell, FL 32110-6191 - Phone
- (407) 885-6517
- NPI assigned
- Aug 29, 2022
- Last updated
- Jul 11, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetic/Orthotic Supplier | 335E00000X | C401K5KWZ4 | FL | Primary |
Addresses
Primary practice location
401 S State St Unit C
Bunnell, FL 32110-6191
Mailing address
401 S State St Unit C
Bunnell, FL 32110-6191
Phone (407) 885-6517
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 871124644 | Medicaid | FL |
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 |
|---|---|---|---|
| C401K5KWZ4 | FL | MD | Prosthetic/Orthotic Supplier |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720656000000",
"number": "1326767757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 S STATE ST UNIT C",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321106191",
"telephone_number": "407-885-6517"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 S STATE ST UNIT C",
"city": "BUNNELL",
"state": "FL",
"postal_code": "321106191",
"telephone_number": "407-885-6517"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERALL",
"first_name": "HOPE",
"middle_name": "JAMIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-08-29",
"last_updated": "2024-07-11",
"certification_date": "2024-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "335E00000X",
"taxonomy_group": "",
"desc": "Prosthetic/Orthotic Supplier",
"state": "FL",
"license": "C401K5KWZ4",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "871124644",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bunnell, FL
- State of Florida Department of Health (Flagler County Health Department)
- State of Florida Department of Health (Flagler County Health Department)
- State of Florida Department of Health (Flagler County Health Department)
- Stepwise Health Services, Inc. (StepWise PT Services)
- Alexa Nicole Stylianakis, DMD
- Matthew Sweeney, D.C.
- Sweetie Peetie LLC (Flagler Hearing)
- Andrea Jean Thompson, NP
- Jennifer L Thornton, DC
- Angel Luis Torres, MSW, CAP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.