Individual provider Active NPI

Sherry A Summitt, R, MR

  • Magnetic Resonance Imaging Radiologic Technologist
  • Conway, AR
National Provider Identifier
1336167352
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
191123
Practice address
2585 Donaghey Ave
Conway, AR 72032-2327
Phone
(501) 764-1201
Fax
(501) 764-1204
NPI assigned
Jul 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiologic Technologist 247100000X RTL000699
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X 191123 Primary

Addresses

Primary practice location

2585 Donaghey Ave
Conway, AR 72032-2327

Mailing address

28 Springhill Dr
Greenbrier, AR 72058-9630
Phone (501) 679-0511

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

Practice roles

OrganizationSpecialtyStatusNew patients
Open MRI of Conway LLC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1336167352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 SPRINGHILL DR",
            "city": "GREENBRIER",
            "state": "AR",
            "postal_code": "720589630",
            "telephone_number": "501-679-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 DONAGHEY AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720322327",
            "telephone_number": "501-764-1201",
            "fax_number": "501-764-1204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMITT",
        "first_name": "SHERRY",
        "middle_name": "A",
        "credential": "R, MR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-17",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "247100000X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": "RTL000699",
            "primary": false
        },
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": null,
            "license": "191123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.