Linda Summerall, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

17818 Issued in SC

Practice address

1407 King St
Beaufort, SC 29902-4937

Phone

(843) 521-5572

NPI assigned

Mar 18, 2014

Last updated

Mar 18, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1395100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395100800000",
    "number": "1912324781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 189",
            "address_2": "65 SUMMERALL ROAD",
            "city": "SAINT HELENA ISLAND",
            "state": "SC",
            "postal_code": "299200189",
            "telephone_number": "843-838-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1407 KING ST",
            "city": "BEAUFORT",
            "state": "SC",
            "postal_code": "299024937",
            "telephone_number": "843-521-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERALL",
        "first_name": "LINDA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-18",
        "last_updated": "2014-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "SC",
            "license": "17818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Administrator Registered Nurse in Beaufort, SC
• Providers in Beaufort, SC by specialty
• Administrator Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2014; 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.