Active NPI
Patricia B. Summers, CNP
- Nurse Practitioner
- Barberton, OH
National Provider Identifier
1689613168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- NP01076
- Practice address
- 1423 South Van Buren Ave.
B&W Wellness Center
Barberton, OH 44203-2432 - Phone
- (330) 745-4812
- Fax
- (330) 745-5464
- NPI assigned
- Jun 6, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | NP01076 | OH | Primary |
Addresses
Primary practice location
1423 South Van Buren Ave.
B&W Wellness Center
Barberton, OH 44203-2432
Mailing address
142 South Van Buren Ave
Barberton, OH 44203
Phone (330) 745-4812
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2265249 | Medicaid | OH | |
| 2265269 | Medicaid | OH |
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
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN | OH | MD | Registered Nurse |
| NP01076 | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Statcare of Northeast Ohio, LLC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Nurse Practitioner
- Wadsworth, OH
- NPI 1053565986
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1292544000000",
"number": "1689613168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "142 SOUTH VAN BUREN AVE",
"city": "BARBERTON",
"state": "OH",
"postal_code": "44203",
"telephone_number": "330-745-4812",
"fax_number": "330-745-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1423 SOUTH VAN BUREN AVE.",
"address_2": "B&W WELLNESS CENTER",
"city": "BARBERTON",
"state": "OH",
"postal_code": "442032432",
"telephone_number": "330-745-4812",
"fax_number": "330-745-5464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "PATRICIA",
"middle_name": "B.",
"name_prefix": "Ms.",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-06",
"last_updated": "2010-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "NP01076",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2265249",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2265269",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Barberton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.