Organization Active NPI

Summit NP Services, LLC

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1457710840
Registry record updated Feb 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP119187 Issued in TX
Legal business name
SUMMIT NP SERVICES, LLC
Practice address
4861 Jodi Dr
Fort Worth, TX 76244-5903
Phone
(432) 559-8757
NPI assigned
Feb 15, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2016

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

Authorized official

Name
Amanda Paige Dugan, FNP-C
Title
Managing Member
Phone
(432) 559-8757

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X AP119187 TX Primary

Addresses

Primary practice location

4861 Jodi Dr
Fort Worth, TX 76244-5903

Mailing address

4861 Jodi Dr
Fort Worth, TX 76244-5903
Phone (432) 559-8757

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1455494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1455494400000",
    "number": "1457710840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4861 JODI DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445903",
            "telephone_number": "432-559-8757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4861 JODI DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445903",
            "telephone_number": "432-559-8757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT NP SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-15",
        "last_updated": "2016-02-15",
        "status": "A",
        "authorized_official_last_name": "DUGAN",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "PAIGE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "432-559-8757",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP119187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; 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.