Individual provider Active NPI

Jaime Summers, FNP-C

  • Family Nurse Practitioner
  • Tupelo, MS
National Provider Identifier
1548709678
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
901856 Issued in MS
Practice address
2970 West Jackson St
Tupelo, MS 38801-9562
Phone
(662) 732-2830
NPI assigned
Feb 22, 2017
Last updated
Aug 2, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 901856 MS Primary

Addresses

Primary practice location

2970 West Jackson St
Tupelo, MS 38801-9562

Mailing address

2970 West Jackson St
Tupelo, MS 38801-9562
Phone (662) 732-2830

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20170410002625 MS Practitioner - Nurse Practitioner 5991081705 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Diabetes & Endocrine Institute, PLLC CurrentSince Mar 27, 2017 Accepting new patients
Diabetes and Endocrine Institute PastSince Mar 27, 2017 Accepting new patients

Locations

2610 Courthouse Cir
Flowood, MS 39232
Phone (601) 932-1223

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1487721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1548709678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2970 WEST JACKSON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019562",
            "telephone_number": "662-732-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2970 WEST JACKSON ST",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388019562",
            "telephone_number": "662-732-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JAIME",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-22",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "901856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tupelo, MS

Sources for this page

Verify at the official NPI Registry.