Jamie Summers

Individual provider Active NPI Registered Nurse · Bellevue, OH

NPI 1982272092 · NPPES record last updated Jun 15, 2021

Key facts

NPI
1982272092
Entity type
Individual (NPI type 1)
Primary specialty
Registered Nurse 163W00000X
License
RN.340636 (OH)
Practice address
101 Auxiliary Dr
Bellevue, OH 44811-9492
Phone
(419) 483-5000
NPI assigned
Jun 15, 2021
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
RN.340636OHMDRegistered Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN.340636 OH Yes

Addresses

Primary practice location

101 Auxiliary Dr
Bellevue, OH 44811-9492

Mailing address

27 W New Haven St
Bloomville, OH 44818-9466
Phone (419) 983-4028

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 15, 2021.

{
    "created_epoch": "1623715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623715200000",
    "number": "1982272092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 W NEW HAVEN ST",
            "city": "BLOOMVILLE",
            "state": "OH",
            "postal_code": "448189466",
            "telephone_number": "419-983-4028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AUXILIARY DR",
            "city": "BELLEVUE",
            "state": "OH",
            "postal_code": "448119492",
            "telephone_number": "419-483-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUMMERS",
        "first_name": "JAMIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-15",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "RN.340636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellevue, OH

All providers in Bellevue, OH · Registered Nurse in Ohio

Sources for this page

Verify at the official NPI Registry.