Reathia Sue Summers, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

R661171 Issued in MS

Practice address

157 Hwy 492
Sebastopol, MS 39359

Phone

(601) 668-0302

NPI assigned

Mar 25, 2015

Last updated

Mar 25, 2015By 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

Enrolled in MS, TX2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Ripley, MS
  • NPI 1447769559

  Family

  Medicare reassignment NPD
• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center

  • General Acute Care Hospital
  • Choctaw, MS
  • NPI 1790865780

  TX

  Medicare reassignment NPD
• Fast Pace Mississippi, PLLC

  • Rural Health Clinic/Center
  • Kosciusko, MS
  • NPI 1851050579
  NPD
• Mississippi Band of Choctaw Indians

  dba Conehatta Satellite Clinic

  • Federal Public Health Clinic/Center
  • Conehatta, MS
  • NPI 1013092600
  NPD
• Mississippi Band of Choctaw Indians

  dba Bogue Chitto Satellite Clinic

  • Federal Public Health Clinic/Center
  • Philadelphia, MS
  • NPI 1144305731
  NPD
• Mississippi Band of Choctaw Indians

  dba Red Water Satellite Clinic

  • Federal Public Health Clinic/Center
  • Carthage, MS
  • NPI 1275611543
  NPD
• Mississippi Band of Choctaw Indians

  dba Choctaw Health Center Ambulance

  • Ambulance
  • Choctaw, MS
  • NPI 1548358153
  NPD

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427241600000",
    "number": "1891189114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 HWY 492",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "39359",
            "telephone_number": "601-668-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 HWY 492",
            "city": "SEBASTOPOL",
            "state": "MS",
            "postal_code": "39359",
            "telephone_number": "601-668-0302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "REATHIA",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R661171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gaydon Nowell, M.S.N PMHNP-BC
• Candace Tierra Pearson, APRN, FNP-C
• Kayti A Powell, CPNP
• Karen Reece, FNP
• Rodney L Moore (Moore's Pharmacy)
• Whitney Marie Talbert, D.M.D.
• Mary Rose Thomas, PMHNP
• John Edwin Witcher, MD

• Family Nurse Practitioner in Sebastopol, MS
• Providers in Sebastopol, MS by specialty
• Family Nurse Practitioner in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.