Kelly Jean Summerfield, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

4704213133 Issued in MI

Practice address

6221 N Telegraph Rd
Dearborn Heights, MI 48127-3222

Phone

(313) 561-2200

Fax

(313) 561-2211

NPI assigned

Feb 3, 2010

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)

Enrolled

Credentials

Certified Nurse Midwife

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

{
    "created_epoch": "1265155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1871825703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273222",
            "telephone_number": "313-561-2200",
            "fax_number": "313-561-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6221 N TELEGRAPH RD",
            "city": "DEARBORN HEIGHTS",
            "state": "MI",
            "postal_code": "481273222",
            "telephone_number": "313-561-2200",
            "fax_number": "313-561-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERFIELD",
        "first_name": "KELLY",
        "middle_name": "JEAN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-03",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "MI",
            "license": "4704213133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• STT Medical PLLC
• Kevin Andrew Stumpf, DPT
• Mary Kathryn Such, DDS
• F Robert Suchyta, DO
• Maha Sulaiman, LMFT
• Summit Diagnostic Services PLLC
• Summit Medical Group PLLC
• Summit Physicians Group PLLC
• Summit Visiting Physicians Group
• Summit Visiting Physicians Group, PC

• Advanced Practice Midwife in Dearborn Heights, MI
• Providers in Dearborn Heights, MI by specialty
• Advanced Practice Midwife in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2018; 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.