Kristin Ruth Summerfelt, RN, PHN

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

License

715178 Issued in CA

Practice address

101 Bodin Cir
BLDG 777
Travis AFB, CA 94535-1809

Phone

(707) 423-7686

Fax

(707) 423-5137

NPI assigned

Apr 17, 2008

Last updated

May 5, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304553600000",
    "number": "1689848905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BODIN CIRCLE",
            "address_2": "BLDG 777",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "94535",
            "telephone_number": "707-423-7686",
            "fax_number": "707-423-5137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BODIN CIR",
            "address_2": "BLDG 777",
            "city": "TRAVIS AFB",
            "state": "CA",
            "postal_code": "945351809",
            "telephone_number": "707-423-7686",
            "fax_number": "707-423-5137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFELT",
        "first_name": "KRISTIN",
        "middle_name": "RUTH",
        "name_prefix": "Ms.",
        "credential": "RN, PHN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-17",
        "last_updated": "2011-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "715178",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": "715178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phillip Andrew Strawbridge, MD, MPH
• Alexander Sturrock, M.D.
• Teddy Su, MD
• Roshani Subedi, NURSE PRACTITIONER
• Kathryn F Sullivan, MD
• Narayana K Swamy, M.D.,
• Janna Swanson, LCSW
• Trever Symalla, MD
• Laban Kipkurui Tabartet
• Tiffany Tajiri-White, PSY.D.

• Case Manager/Care Coordinator in Travis AFB, CA
• Providers in Travis AFB, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2011; 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.