Individual provider Active NPI

Carolyn Summer, AGNP

  • Adult Health Nurse Practitioner
  • Washington, DC
National Provider Identifier
1487026928
Registry record updated Apr 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
RN1039110 Issued in DC
Practice address
1251B Saratoga Ave NE
Washington, DC 20018-1025
Phone
(202) 832-8818
Fax
(202) 548-8600
NPI assigned
Oct 23, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN1039110 DC
Adult Health Nurse Practitioner 363LA2200X RN1039110 DC Primary

Addresses

Primary practice location

1251B Saratoga Ave NE
Washington, DC 20018-1025

Mailing address

1251B Saratoga Ave NE
Washington, DC 20018-1025
Phone (202) 832-8818

Other practice location 1

1251B Saratoga Ave NE
Washington, DC 20018-1025
Phone (202) 832-8818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20151218000965 DC Practitioner - Nurse Practitioner 6406157312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unity Health Care Inc.Group PAC ID 3476647264, 151 clinicians

Practice addresses (Care Compare)

1310 Southern Ave SE
Washington, DC 20032-4623
Phone (202) 574-7222

3020 14TH St NW
Washington, DC 20009-6865
Phone (202) 745-4300

425 2ND St NW
Washington, DC 20001-2003
Phone (202) 508-0500

65 Massachusetts Ave NW
Washington, DC 20001-1431
Phone (202) 328-1084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN1039110DCMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Health Care, Inc. CurrentSince Nov 23, 2015 Accepting new patients
Unity Health Care Inc. CurrentSince Nov 23, 2015 Accepting new patients
Unity Health Care, Inc Past Accepting new patients

Locations

1251B Saratoga Ave NE
Washington, DC 20018
Phone (202) 832-8818

3924 Minnesota Ave NE
Washington, DC 20019
Phone (202) 339-1706

1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000

Interoperability endpoints

  • Direct secure messaging: carolyn.summer@uhci.eclinicaldirectplus.com

Organizations & group practices 3

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": "1445558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1523923200000",
    "number": "1487026928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1251B SARATOGA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181025",
            "telephone_number": "202-832-8818",
            "fax_number": "202-548-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251B SARATOGA AVE NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181025",
            "telephone_number": "202-832-8818",
            "fax_number": "202-548-8600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1251B Saratoga Ave NE",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200181025",
            "country_code": "US",
            "telephone_number": "202-832-8818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMMER",
        "first_name": "CAROLYN",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-23",
        "last_updated": "2018-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "DC",
            "license": "RN1039110",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "DC",
            "license": "RN1039110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.