Summit Relief JH LLC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

Legal business name

SUMMIT RELIEF JH LLC

Practice address

320 E Broadway Ave Unit 1a
Jackson, WY 83001-8636

Phone

(307) 289-2525

NPI assigned

Apr 19, 2024

Last updated

Apr 19, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Carrie Ross Quinlan, FNPNPI 1942711254

Title

Owner

Phone

(330) 806-4427

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Carrie Ross Quinlan, FNP-C

  • Family Nurse Practitioner
  • Jackson, WY
  • NPI 1942711254
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1713484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713484800000",
    "number": "1801641139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6580",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830026580",
            "telephone_number": "307-289-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 E BROADWAY AVE UNIT 1A",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018636",
            "telephone_number": "307-289-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT RELIEF JH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-19",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A",
        "authorized_official_last_name": "QUINLAN",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_middle_name": "ROSS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "330-806-4427",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Greer Sugden, MD
• Jenelle M Sullivan, PT
• John A. Sullivan, M.D.
• Derrik Sulzer, DC, MS
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• Cheyenne Lyn Syvertson-Hagestuen, MSW
• Nathan John Tanner, D.M.D.

• Nurse Practitioner in Jackson, WY
• Providers in Jackson, WY by specialty
• Nurse Practitioner in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.