Active NPI
Summit Health & Wellness LLC
- Primary Care Nurse Practitioner
- Dunlap, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- SUMMIT HEALTH & WELLNESS LLC
- Practice address
- 97 St Clair Dr
Dunlap, TN 37327-6063 - Phone
- (423) 949-7990
- Fax
- (423) 949-7999
- NPI assigned
- Oct 11, 2024
- Last updated
- Oct 11, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathleen Loyd
- Title
- LLC Member
- Phone
- (706) 266-9831
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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | Primary |
Addresses
Primary practice location
97 St Clair Dr
Dunlap, TN 37327-6063
Mailing address
97 St Clair Dr
Dunlap, TN 37327-6063
Phone (423) 949-7990
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 44D2297683 | Summit Health & Wellness, LLC | Certificate of waiver | Jan 18, 2028 |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Sparta, TN
- NPI 1942761929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728604800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728604800000",
"number": "1467272823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "97 ST CLAIR DR",
"city": "DUNLAP",
"state": "TN",
"postal_code": "373276063",
"telephone_number": "423-949-7990",
"fax_number": "423-949-7999"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "97 ST CLAIR DR",
"city": "DUNLAP",
"state": "TN",
"postal_code": "373276063",
"telephone_number": "423-949-7990",
"fax_number": "423-949-7999"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SUMMIT HEALTH & WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-11",
"last_updated": "2024-10-11",
"certification_date": "2024-10-11",
"status": "A",
"authorized_official_last_name": "LOYD",
"authorized_official_first_name": "KATHLEEN",
"authorized_official_title_or_position": "LLC MEMBER",
"authorized_official_telephone_number": "706-266-9831"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dunlap, TN
- Derrick Smith
- South East Tennessee Human Resource Agency
- Southeast TN. Human Resource Agency
- State of Tennessee (Sequatchie County Health Department)
- Steven D. Elliott, O.D. & Associates, Inc (Volunteer EyeCare)
- Tennessee Em-I Medical Services PC
- Tennessee River Physicians, PLLC
- Tennessee Valley Primary Care, PLLC
- Robert Brett Thompson, MS SLP- CCC
- Tyler Trisdale
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.