Organization Active NPI

Summit Health & Wellness LLC

  • Primary Care Nurse Practitioner
  • Dunlap, TN
National Provider Identifier
1467272823
Registry record updated Oct 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 11, 2024

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

Authorized official

Name
Kathleen LoydNPI 1942761929
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)CodeLicenseStatePrimary
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 NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2297683Summit Health & Wellness, LLC97 St Clair Drive, Dunlap, TN 37327Certificate of waiverJan 18, 2028

National Provider Directory

National Provider Directory

Practitioners & 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.

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

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.

Verify at the official NPI Registry.