Active NPI
Jacqueline Summerall
- Licensed Practical Nurse
- Orlando, FL
National Provider Identifier
1912844762
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Practical Nurse
- License
- 51480
- Practice address
- 1561 S Alafaya TRL Ste 200
Orlando, FL 32828-8956 - Phone
- (407) 961-6229
- Fax
- (833) 528-6509
- NPI assigned
- Apr 30, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Practical Nurse | 164W00000X | 51480 | TN | Primary |
Addresses
Primary practice location
1561 S Alafaya TRL Ste 200
Orlando, FL 32828-8956
Mailing address
117 Boyce CT
Nashville, TN 37218-1905
Phone (407) 961-6229
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 51480 | TN | MD | Licensed Practical Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1777507200000",
"number": "1912844762",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 BOYCE CT",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372181905",
"telephone_number": "407-961-6229",
"fax_number": "833-528-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1561 S ALAFAYA TRL STE 200",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328288956",
"telephone_number": "407-961-6229",
"fax_number": "833-528-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERALL",
"first_name": "JACQUELINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-04-30",
"last_updated": "2026-04-30",
"certification_date": "2026-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "TN",
"license": "51480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.