DR. SUMMER L IBARRA (NPI# 1053743088) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053743088 |
| Entity Type | Individual |
| Full Name | DR. SUMMER L IBARRA |
| Credential | PH.D. |
| Practice Address |
5230 E Stop 11 Rd Ste 350 Indianapolis IN 46237-6402 |
| Mailing Address |
10293 N Meridian St Ste 210 Carmel IN 46290-1079 |
| Practice Telephone | 3177838383 |
| Mailing Telephone | 3175812292 |
| Mailing Fax Number | 3175812285 |
| Enumeration Date | 2013-08-01 |
| Last Update Date | 2020-11-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103G00000X | Clinical Neuropsychologist | 20042730A | IN | Behavioral Health & Social Service Providers |
| Y | 103TR0400X |
Psychologist Specialization: Rehabilitation |
20042730A | IN | Behavioral Health & Social Service Providers |
| N | 103TR0400X |
Psychologist Specialization: Rehabilitation |
99058381A | IN | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | ANTHEM | 000000863597 | 01 |
| Street Address |
5230 E STOP 11 RD STE 350 |
| City | INDIANAPOLIS |
| State | IN |
| Zip Code | 46237-6402 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922270123 | Katherine Desai | Social Worker | 5230 E Stop 11 Rd Ste 350, Indianapolis, IN 46237-6402 | 2008-03-27 |
| 1801392121 | Dawn Renee Battle | Social Worker | 5230 E Stop 11 Rd Ste 350, Indianapolis, IN 46237 | 2018-04-04 |
| 1942687009 | Mary Cottom Krammes | Social Worker | 5230 E Stop 11 Rd Ste 350, Indianapolis, IN 46237-6402 | 2015-04-28 |
| 1740535335 | Beth E Buchanan | Social Worker | 5230 E Stop 11 Rd Ste 350, Indianapolis, IN 46237-6402 | 2012-07-19 |
| 1649532490 | Jeanette Etnier | Counselor | 5230 E Stop 11 Rd Ste 350, Indianapolis, IN 46237-6402 | 2012-06-07 |
| 1104061605 | Amy Burbage | Psychologist | 5230 E Stop 11 Rd Ste 350, Indianapolis, IN 46237-6402 | 2008-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568961902 | Ashley Marie Mitchell | Nurse Practitioner | 8111 S Emerson Ave # 101, Indianapolis, IN 46237 | 2018-02-11 |
| 1245692177 | Christopher W Gregory | Pharmacist | 8111 S Emerson Avenue, Indianapolis, IN 46237 | 2016-03-21 |
| 1558729111 | Franklin Point Dental | Clinic/Center | 6751 E Southport Rd, Suite H, Indianapolis, IN 46237 | 2016-02-10 |
| 1821460767 | Costco Wholesale Corporation | Pharmacy | 4628 E County Line Rd, Indianapolis, IN 46237 | 2015-10-29 |
| 1164894697 | Mercedes Castellanos-pitcock | Physician Assistant | 7855 S Emerson Ave Ste P, Indianapolis, IN 46237 | 2015-10-23 |
| 1013301142 | Sophia Frawley | Physical Therapist | 7855 South Emerson Avenue, Suite W, Indianepolis, IN 46237 | 2015-03-26 |
| 1154715829 | Emily Marie Prather | Specialist/Technologist | 4607 Citation Cir, Indianapolis, IN 46237 | 2015-03-20 |
| 1659794543 | Rachel Adams | Occupational Therapy Assistant | 6525 Moss Creek Place, Indianapolis, IN 46237 | 2014-01-28 |
| 1790121549 | Carol Lynn Patton | Nurse Practitioner | 8111 S Emerson Ave Fl 5, Indianapolis, IN 46237 | 2013-05-21 |
| 1255685772 | Jarron J Lincoln | Physician Assistant | 5230 E Stop 11 Rd Ste 250, Indianapolis, IN 46237 | 2012-11-06 |
| Find all providers in zip 46237 | ||||
| Taxonomy Code | 103TR0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Rehabilitation |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477643260 | Ingwell Psychological Services Inc. | Psychologist | 650 W 64th St, Indianapolis, IN 46260-4731 | 2006-10-13 |
| 1043405350 | Amber Rae Fleming | Psychologist | 201 Pennsylvania Pkwy, Suite 200, Indianapolis, IN 46280-2301 | 2007-09-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356349898 | James M Rice | Psychologist | 9780 Lantern Rd, Suite 210, Fishers, IN 46038-4092 | 2005-07-08 |
| City | INDIANAPOLIS |
| Zip Code | 46237 |
Please comment or provide details below to improve the information on DR. SUMMER L IBARRA.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.