Individual provider Active NPI

Patricia Katherine Summers, FNP-C

  • Family Nurse Practitioner
  • Phoenix, AZ
National Provider Identifier
1710949805
Registry record updated Apr 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP1459 Issued in AZ
Practice address
3003 N Central Ave
Ste 800
Phoenix, AZ 85012-2902
Phone
(602) 319-4623
Fax
(602) 462-1132
NPI assigned
Apr 4, 2006
Last updated
Apr 28, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2015

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 AP1459 AZ Primary

Addresses

Primary practice location

3003 N Central Ave
Ste 800
Phoenix, AZ 85012-2902

Mailing address

3003 N Central Ave
Ste 800
Phoenix, AZ 85012-2902
Phone (602) 319-4623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, ME2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071106000019 AZ Practitioner - Nurse Practitioner 9638266836 Reassigns benefits to 1 organization
I20190516001872 ME Practitioner - Nurse Practitioner 9638266836 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Phoenix Collaborative Care PC CurrentSince Jul 13, 2021 Accepting new patients
Greater Phoenix Collaborative Care PC CurrentSince Jul 13, 2021 Accepting new patients
Alignmed Partners, PC CurrentSince Nov 22, 2020 Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients
Tri-City Express Care, PLLC Past Accepting new patients

Locations

5830 N 19th Ave
Phoenix, AZ 85015
Phone (602) 249-0115

33 Roger St
Lewiston, ME 04240
Phone (207) 784-0108

67 Pine Point Rd
Scarborough, ME 04074
Phone (207) 883-2468

Organizations & group practices 8

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": "1144108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430179200000",
    "number": "1710949805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "STE 800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-319-4623",
            "fax_number": "602-462-1132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3003 N CENTRAL AVE",
            "address_2": "STE 800",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850122902",
            "telephone_number": "602-319-4623",
            "fax_number": "602-462-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "PATRICIA",
        "middle_name": "KATHERINE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-04",
        "last_updated": "2015-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "AP1459",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.