Active NPI
Deborah Lynn Summers, N.P.
- Family Nurse Practitioner
- Indianapolis, IN
National Provider Identifier
1659530426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 71000419A
- Practice address
- 8177 Clearvista Pkwy
Indianapolis, IN 46256-1662 - Phone
- (317) 621-7801
- Fax
- (317) 621-7205
- NPI assigned
- Jun 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 71000419A | IN | Primary |
Addresses
Primary practice location
8177 Clearvista Pkwy
Indianapolis, IN 46256-1662
Mailing address
8177 Clearvista Pkwy
Indianapolis, IN 46256-1662
Phone (317) 621-7801
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 71000419A | Other | IN | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.L. Care, Inc. | Past | Accepting new patients | |
| Midwest Pain Institute Center for Minimally Invasive Spine PC | Past | Accepting new patients |
Interoperability endpoints
- https://api.platform.athenahealth.com/15200/brand/1/csg/1/fhir/r4
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.
-
- Interventional Pain Medicine Physician
- Carmel, IN
- NPI 1497785273
-
- Geriatric Medicine (Internal Medicine) Physician
- Indianapolis, IN
- NPI 1982772935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1659530426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8177 CLEARVISTA PKWY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561662",
"telephone_number": "317-621-7801",
"fax_number": "317-621-7205"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8177 CLEARVISTA PKWY",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462561662",
"telephone_number": "317-621-7801",
"fax_number": "317-621-7205"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "DEBORAH",
"middle_name": "LYNN",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "IN",
"license": "71000419A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "71000419A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.