Courtney B'Nai Summerville, CEO

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

239016 Issued in FL

Practice address

11422 Tulane St
New Port Richey, FL 34654-2301

Phone

(813) 459-1012

NPI assigned

Mar 10, 2023

Last updated

Mar 10, 2023By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1678406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678406400000",
    "number": "1801597422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 611",
            "city": "LAND O LAKES",
            "state": "FL",
            "postal_code": "346390611",
            "telephone_number": "813-459-1012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11422 TULANE ST",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "346542301",
            "telephone_number": "813-459-1012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERVILLE",
        "first_name": "COURTNEY",
        "middle_name": "B'NAI",
        "credential": "CEO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-10",
        "last_updated": "2023-03-10",
        "certification_date": "2023-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "FL",
            "license": "239016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie M Suchanek, MD
• Charles Livingston Suggs III, MD
• Brandi Sullivan, LCSW
• Claudia A Sullivan, LCSW
• Summerville at New Port Richey, LLC (Emeritus at New Port Richey)
• Summit Anesthesiology Inc
• Sun Dental Inc. (Premier Dental Associates)
• Sun State Nutrition
• Suncoast Anesthesia Group, LLC
• Suncoast Heart Clinic P a

• Home Health Aide in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Home Health Aide in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2023; 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.