Active NPI
Susan Lynn Putrelo-Summers, FNP
- Family Nurse Practitioner
- Rochester, NY
National Provider Identifier
1720386154
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 336369-1
- Practice address
- 855 W Main St
Rochester, NY 14611-2335 - Phone
- (585) 753-5484
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
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 | 336369-1 | NY | Primary |
Addresses
Primary practice location
855 W Main St
Rochester, NY 14611-2335
Mailing address
54 Sunset Blvd
Pittsford, NY 14534-2143
Phone (585) 248-8106
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336369-1 | NY | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299628800000",
"number": "1720386154",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "54 SUNSET BLVD",
"city": "PITTSFORD",
"state": "NY",
"postal_code": "145342143",
"telephone_number": "585-248-8106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 W MAIN ST",
"city": "ROCHESTER",
"state": "NY",
"postal_code": "146112335",
"telephone_number": "585-753-5484"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PUTRELO-SUMMERS",
"first_name": "SUSAN",
"middle_name": "LYNN",
"name_prefix": "Ms.",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-03-09",
"last_updated": "2011-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "336369-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rochester, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.