Erica Riser Summers, RN
Individual provider Active NPI Registered Nurse · Stmatthews, SC
NPI 1891546891 · NPPES record last updated Mar 28, 2024
Key facts
- NPI
- 1891546891
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 1402332 (SC)
- Practice address
- 2837 Old Belville Road
Stmatthews, SC 29135 - Phone
- (803) 874-2037
- NPI assigned
- Mar 28, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1402332 | SC | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State of South Carolina | Current |
Accepting new patients | |
| State of South Carolina Comptroller General | Past |
Accepting new patients |
Locations
2837 Old Belleville Rd
St Matthews, SC 29135
Phone (803) 874-2037
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1402332 | SC | Yes |
Addresses
Primary practice location
2837 Old Belville Road
Stmatthews, SC 29135
Mailing address
7908 Old State Rd
Cameron, SC 29030-8102
Phone (803) 308-4334
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 28, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.