NPIMap

Organization Active NPI

Sumner Pediatrics, PLLC

  • Pediatrics Physician
  • Hendersonville, TN
National Provider Identifier
1639490246
Registry record updated Oct 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31145 Issued in TN
Legal business name
SUMNER PEDIATRICS, PLLC
Practice address
625 E Main St
Suite #3
Hendersonville, TN 37075-2602
Phone
(615) 822-8388
Fax
(615) 822-8336
NPI assigned
Jun 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2019

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

Authorized official

Name
Maria Corazon Villareal Benitez-Brauer, MDNPI 1831185644
Title
MD/Owner
Phone
(615) 822-8388

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
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X 31145 TN Primary

Addresses

Primary practice location

625 E Main St
Suite #3
Hendersonville, TN 37075-2602

Mailing address

625 E Main St Ste 4
Hendersonville, TN 37075-2602
Phone (615) 822-8388

National Provider Directory

National Provider Directory

Locations

625 Johnny Cash Blvd
Ste 4
Hendersonvlle, TN 37075
Phone (615) 212-8908

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276732800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1572480000000",
    "number": "1639490246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST STE 4",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602",
            "telephone_number": "615-822-8388",
            "fax_number": "615-822-8336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 E MAIN ST",
            "address_2": "SUITE #3",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752602",
            "telephone_number": "615-822-8388",
            "fax_number": "615-822-8336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMNER PEDIATRICS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-06-17",
        "last_updated": "2019-10-31",
        "status": "A",
        "authorized_official_last_name": "BENITEZ-BRAUER",
        "authorized_official_first_name": "MARIA CORAZON",
        "authorized_official_middle_name": "VILLAREAL",
        "authorized_official_title_or_position": "MD/OWNER",
        "authorized_official_telephone_number": "615-822-8388",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "TN",
            "license": "31145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2019; 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.