Individual provider Active NPI

Summer Powell, FNP-C

  • Family Nurse Practitioner
  • Natchez, MS
National Provider Identifier
1437718426
Registry record updated Jun 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F06190369 Issued in MS
Practice address
308 Highland Blvd
Natchez, MS 39120-4611
Phone
(601) 442-7676
NPI assigned
Jun 12, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F06190369 MS Primary

Addresses

Primary practice location

308 Highland Blvd
Natchez, MS 39120-4611

Mailing address

308 Highland Blvd
Natchez, MS 39120-4611
Phone (601) 442-7676

Other practice location 1

1221 N Martin Luther King Jr St
Natchez, MS 39120-3157
Phone (601) 442-7676

Other practice location 2

1806 Carter St
Vidalia, LA 71373-3115
Phone (318) 336-7172

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amcleod@cableone.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240627003238 MS Practitioner - Nurse Practitioner 5799229027 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F06190369MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Community Care Health Network LLC CurrentSince Jun 1, 2024 Accepting new patients
Children'S International L.L.C. Past Accepting new patients

Locations

9201 E Mountain View Rd
Ste 220
Scottsdale, AZ 85258
Phone (480) 862-1883

232 Market St
Jackson, MS 39232
Phone (588) 498-6767

Organizations & group practices 2

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": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560297600000",
    "number": "1437718426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-7676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 HIGHLAND BLVD",
            "city": "NATCHEZ",
            "state": "MS",
            "postal_code": "391204611",
            "telephone_number": "601-442-7676"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 N Martin Luther King Jr St",
            "address_purpose": "LOCATION",
            "city": "Natchez",
            "state": "MS",
            "postal_code": "391203157",
            "country_code": "US",
            "telephone_number": "601-442-7676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1806 Carter St",
            "address_purpose": "LOCATION",
            "city": "Vidalia",
            "state": "LA",
            "postal_code": "713733115",
            "country_code": "US",
            "telephone_number": "318-336-7172",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELL",
        "first_name": "SUMMER",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-12",
        "last_updated": "2019-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "F06190369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amcleod@cableone.net",
            "affiliation": "N",
            "address_1": "308 Highland Blvd",
            "city": "Natchez",
            "state": "MS",
            "country_code": "US",
            "postal_code": "391204611",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natchez, MS

Sources for this page

Verify at the official NPI Registry.