Individual provider Active NPI

Nancy Sue Summer, L.M.T

  • Specialist
  • Sandy, OR
National Provider Identifier
1952505752
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
6736 Issued in OR
Practice address
17471 Shelley Ave
Sandy, OR 97055-8084
Phone
(503) 419-8911
Fax
(503) 668-1902
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 6736 OR Primary

Addresses

Primary practice location

17471 Shelley Ave
Sandy, OR 97055-8084

Mailing address

PO Box 532
Estacada, OR 97023-0532
Phone (503) 419-8911

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

LicenseStateTypeSpecialty
6736ORMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952505752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 532",
            "city": "ESTACADA",
            "state": "OR",
            "postal_code": "970230532",
            "telephone_number": "503-419-8911",
            "fax_number": "503-668-1902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17471 SHELLEY AVE",
            "city": "SANDY",
            "state": "OR",
            "postal_code": "970558084",
            "telephone_number": "503-419-8911",
            "fax_number": "503-668-1902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMER",
        "first_name": "NANCY",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "L.M.T",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "6736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.