SUMMER ALLEN (NPI# 1346776952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1346776952 |
Entity Type | Individual |
Full Name | SUMMER ALLEN |
Credential | ATC |
Practice Address |
700 Pelham Rd N Jacksonville AL 36265-1602 |
Practice Telephone | 2567825526 |
Mailing Telephone | 2567825526 |
Enumeration Date | 2017-05-03 |
Last Update Date | 2017-05-03 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 405300000X | Prevention Professional | 1860 | AL | Other Service Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598906323 | Summer T Allen | Counselor | 520 Silver St, Kingman, AZ 86401-5545 | 2009-03-06 |
1023648706 | Summer Breeze Allen | Counselor | 3103 Bee Caves Rd Ste 120, Austin, TX 78746-5523 | 2020-01-22 |
1730491036 | Summer Lea Allen | Internal Medicine | 4500 13th St, Gulfport, MS 39501 | 2010-07-02 |
1821298100 | Summer V. S. Allen | Family Medicine | 200 1st St Sw, Rochester, MN 55905-0001 | 2007-07-24 |
Street Address |
700 PELHAM RD N |
City | JACKSONVILLE |
State | AL |
Zip Code | 36265-1602 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1669882569 | Makenzie W. Bayles | Behavioral Analyst | 700 Pelham Rd N, Jsu - Psychology Department, Jacksonville, AL 36265-1602 | 2014-04-30 |
1487297065 | Christopher Marvin Clark | Specialist/Technologist | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2019-10-25 |
1568026375 | Rebecca Katherine Nation | Specialist/Technologist | 700 Pelham Rd N, Jacksonville, AL 36265-1623 | 2019-04-26 |
1912486929 | Savannah Rose Barrentine | Specialist/Technologist | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2018-08-09 |
1104336627 | Michael Garrett Polascik | Specialist/Technologist | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2017-10-11 |
1275043895 | Michaela Grace Meadows | Physical Medicine & Rehabilitation | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2017-10-10 |
1497264659 | Jonathan Griffith | Specialist/Technologist | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2017-09-20 |
1003325275 | Jenah Tracy | Specialist/Technologist | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2017-09-20 |
1275042426 | Dustin Hill | Specialist/Technologist | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2017-09-20 |
1548717119 | Jacksonville State University | Family Medicine | 700 Pelham Rd N, Jacksonville, AL 36265-1602 | 2016-09-01 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700436144 | Griffin Loflin | Specialist/Technologist | 775 Park Ave Nw, Attn. Sports Medicine, Jacksonville, AL 36265 | 2019-09-17 |
1114304011 | Caroline Ross | Counselor | 1215 Jackson Way Sw, Jacksonville, AL 36265 | 2015-04-29 |
1083001226 | Tracey Hudgins | Counselor | 1215 Jackson's Way, Jacksonville, AL 36265 | 2015-04-24 |
1235415118 | Adam Pike | Pharmacist | 311 Pelham Rd So, Jacksonville, AL 36265 | 2011-10-24 |
1386829489 | Physicians Choice Dialysis of Jacksonville, LLC | Clinic/Center | 331 Henry Road Sw, Jacksonville, AL 36265 | 2008-01-08 |
1659409365 | Kenneth Wayne Campbell | Nurse Anesthetist, Certified Registered | 1701 Pelham Road, Jacksonville Medical Center, Jacksonville, AL 36265 | 2007-03-02 |
1154478378 | Diana C. Ford | Counselor | 1250 Jackson's Way, Garrett Counseling Center, Jacksonville, AL 36265 | 2007-01-03 |
1487710950 | James Richard Morrison | Chiropractor | 1550 Pelham Rd. S., Jacksonville, AL 36265 | 2006-12-29 |
1447332937 | Millennium Anesthesia Services | Anesthesiology | 1701 Pelham Road S, Jacksonville, AL 36265 | 2006-10-20 |
1407943228 | Brunda Revanna, Md | Clinic/Center | 1465 A 1st Ave Sw Ste C, Jacksonville, AL 36265 | 2006-10-05 |
Find all providers in zip 36265 |
Taxonomy Code | 405300000X |
Grouping | Other Service Providers |
Classification | Prevention Professional |
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. |
Notes: Source: National Uniform Claim Committee, 2015 [1/1/2016: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831620681 | Desiree Traina | Prevention Professional | 7406 Fullerton St, 200, Jacksonville, FL 32256-3552 | 2017-03-23 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1548874738 | Carolyn B Bryant | Prevention Professional | 250 Sun Temple Dr Ste B7, Madison, AL 35758-5922 | 2020-09-03 |
1205362803 | Erin Margaret Chatwin | Prevention Professional | 65 Mobile St, Mobile, AL 36607-3140 | 2017-05-03 |
1174166375 | Kim Minshew | Prevention Professional | 1428 Weatherly Rd Se Ste 111, Huntsville, AL 35803-1181 | 2019-10-21 |
1881122836 | Vickie Lynn Stephens | Prevention Professional | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2017-06-02 |
City | JACKSONVILLE |
Zip Code | 36265 |
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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.