Active NPI
Summa Holding
- Community Health Nurse Practitioner
- Daphne, AL
National Provider Identifier
1366199473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community Health Nurse Practitioner
- Legal business name
- SUMMA HOLDING
- Doing business as
- New Pathways
- Practice address
- 1203 US Highway 98 Ste 4F
Daphne, AL 36526-4255 - Phone
- (251) 298-7458
- Fax
- (866) 422-7458
- NPI assigned
- Mar 8, 2022
- Organization subpart
- Yes
- Parent organization
- SUMMA HOLDING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Libertie Stephenson, NP
- Title
- Owner
- Phone
- (251) 802-7678
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community Health Nurse Practitioner | 363LC1500X | Primary |
Addresses
Primary practice location
1203 US Highway 98 Ste 4F
Daphne, AL 36526-4255
Mailing address
111 Wild Oak Dr
Daphne, AL 36526-7729
Phone (251) 802-7678
Other names 1
- New Pathways
National Provider Directory
National Provider Directory- Part of
- Summa Holding
Locations
1203 US Highway 98
Ste 4F
Daphne, AL 36526
Phone (251) 298-7458
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Nurse Practitioner
- Pensacola, FL
- NPI 1730531229
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1646697600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1646697600000",
"number": "1366199473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 WILD OAK DR",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365267729",
"telephone_number": "251-802-7678"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1203 US HIGHWAY 98 STE 4F",
"city": "DAPHNE",
"state": "AL",
"postal_code": "365264255",
"telephone_number": "251-298-7458",
"fax_number": "866-422-7458"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMA HOLDING",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "SUMMA HOLDING",
"enumeration_date": "2022-03-08",
"last_updated": "2022-03-08",
"certification_date": "2022-03-08",
"status": "A",
"authorized_official_last_name": "STEPHENSON",
"authorized_official_first_name": "LIBERTIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "251-802-7678",
"authorized_official_credential": "NP"
},
"taxonomies": [
{
"code": "363LC1500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Community Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "New Pathways",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Daphne, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.