Active NPI
Heidi S Summers, MD
- Psychiatry Physician
- Issaquah, WA
National Provider Identifier
1982824009
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- MD00045811
- Practice address
- 5825 221St Place SE
Ste 201
Issaquah, WA 98027 - Phone
- (206) 431-5336
- Fax
- (206) 431-5430
- NPI assigned
- Apr 30, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | MD00045811 | WA | Primary |
Addresses
Primary practice location
5825 221St Place SE
Ste 201
Issaquah, WA 98027
Mailing address
16040 Christensen Rd
Ste 212
Tukwila, WA 98188
Phone (206) 431-5336
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00045811 | WA | MD | Psychiatry Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177891200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1982824009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16040 CHRISTENSEN RD",
"address_2": "STE 212",
"city": "TUKWILA",
"state": "WA",
"postal_code": "98188",
"telephone_number": "206-431-5336",
"fax_number": "206-431-5430"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5825 221ST PLACE SE",
"address_2": "STE 201",
"city": "ISSAQUAH",
"state": "WA",
"postal_code": "98027",
"telephone_number": "206-431-5336",
"fax_number": "206-431-5430"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMMERS",
"first_name": "HEIDI",
"middle_name": "S",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "WA",
"license": "MD00045811",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Issaquah, WA
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.