Active NPI
Summerlin Sniffen
- Nurse Practitioner
- Charleston, SC
National Provider Identifier
1902764285
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 32436
- Practice address
- 25 Courtenay Dr
Charleston, SC 29425-8911 - Phone
- (843) 792-2300
- NPI assigned
- Jan 14, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 32436 | SC | Primary |
Addresses
Primary practice location
25 Courtenay Dr
Charleston, SC 29425-8911
Mailing address
25 Courtenay Dr
Charleston, SC 29424-0001
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787616000000",
"number": "1902764285",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 COURTENAY DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294240001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 COURTENAY DR",
"city": "CHARLESTON",
"state": "SC",
"postal_code": "294258911",
"telephone_number": "843-792-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SNIFFEN",
"first_name": "SUMMERLIN",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-01-14",
"last_updated": "2026-08-25",
"certification_date": "2026-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "SC",
"license": "32436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Charleston, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.