Mary I. Summerson, CRNP

Primary specialty

Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X

License

SP008969 Issued in PA

Practice address

14 Plumber St
Warren, PA 16365-1202

Phone

(814) 723-2323

Fax

(814) 726-3337

NPI assigned

Jun 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Damian T Horner DO Family Practice

  • Family Medicine Physician
  • Warren, PA
  • NPI 1154745255
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1487698593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 PLUMBER ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651202",
            "telephone_number": "814-723-2323",
            "fax_number": "814-726-3337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 PLUMBER ST",
            "city": "WARREN",
            "state": "PA",
            "postal_code": "163651202",
            "telephone_number": "814-723-2323",
            "fax_number": "814-726-3337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERSON",
        "first_name": "MARY",
        "middle_name": "I.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-16",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "PA",
            "license": "SP008969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA HEALTHCARE",
            "identifier": "00027486901",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emily Joanne May Stowe Sorensen, MA, NCC
• Alex B Strassburg, MD
• Hannah Marie Streich, PTA
• John Strong, CRNA
• Kelly Sullivan, CRNP
• Sunrise Collaborative, LLC.
• Sunrise in-Home Care LLC
• John J Sutton, MD
• Kimberlee Jean Swanson, BSN
• Jada K Swart

• Obstetrics & Gynecology Nurse Practitioner in Warren, PA
• Providers in Warren, PA by specialty
• Obstetrics & Gynecology Nurse Practitioner in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 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.