Active NPI
Summer Wolfe, DNP, APRN, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- Flagstaff, AZ
National Provider Identifier
1942236757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 236722
- Practice address
- 951 E Sawmill Rd
Flagstaff, AZ 86001-5827 - Phone
- (928) 774-4523
- Fax
- (928) 226-5228
- NPI assigned
- Jun 23, 2006
- Reactivated
- Mar 11, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | LAC-11825 | AZ | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 236722 | AZ | Primary |
Addresses
Primary practice location
951 E Sawmill Rd
Flagstaff, AZ 86001-5827
Mailing address
951 E Sawmill Rd
Flagstaff, AZ 86001-5827
Phone (928) 774-4523
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 |
|---|---|---|---|
| LAC-11825 | AZ | MD | Counselor |
| 236722 | AZ | MD | Psychiatric/Mental Health Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661817600000",
"number": "1942236757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "951 E SAWMILL RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860015827",
"telephone_number": "928-774-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "951 E SAWMILL RD",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860015827",
"telephone_number": "928-774-4523",
"fax_number": "928-226-5228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFE",
"first_name": "SUMMER",
"credential": "DNP, APRN, PMHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-23",
"last_updated": "2022-08-30",
"certification_date": "2022-08-30",
"deactivation_date": "2012-03-22",
"reactivation_date": "2020-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "AZ",
"license": "LAC-11825",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "AZ",
"license": "236722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.