PRISCILLA SUMERLIN (NPI# 1619578432) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1619578432 |
Entity Type | Individual |
Full Name | PRISCILLA SUMERLIN |
Credential | APRN |
Practice Address |
320 Adventureland Dr Nw Altoona IA 50009-4234 |
Mailing Address |
6565 Wistful Vista Dr Apt 2206 West Des Moines IA 50266-8621 |
Practice Telephone | 5157277897 |
Enumeration Date | 2020-11-06 |
Last Update Date | 2020-11-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
160959 | IA | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IA | APRN LICENSE NUMBER | 160959 | 01 |
Street Address |
320 ADVENTURELAND DR NW |
City | ALTOONA |
State | IA |
Zip Code | 50009-4234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356846414 | Iowa Dermatology Clinic Plc | Clinic/Center | 3053 8th Street, Suite 200, Altoona, IA 50009 | 2018-03-29 |
1851845002 | Katie Denker | Physical Therapist | 3160 8th St Sw Ste M&n, Altoona, IA 50009 | 2016-08-04 |
1326417593 | Jennifer Boyles | Dentist | 2575 1st Ave S, Altoona, IA 50009 | 2015-09-17 |
1760898795 | Matthew Nicholson | Family Medicine | 160 Adventureland Dr Nw Ste C, Altoona, IA 50009 | 2014-07-10 |
1780960237 | Michael Joseph Hoffman | Pharmacist | 233 35th Street Southwest, Altoona, IA 50009 | 2011-10-28 |
1932427101 | Michael D Wall | Physical Therapist | 2720 8th Street Sw, Altoona, IA 50009 | 2010-05-12 |
1285959957 | Iowa Hearing Associates LLC | Hearing Aid Equipment | 3160 8th St Sw Suite F, Altoona, IA 50009 | 2010-04-06 |
1114046547 | Christopher John Hlas | Dentist | 107 8th St Se, Altoona, IA 50009 | 2007-03-28 |
1164506622 | Kylon A Schmitt | Physician Assistant | 3770 8th St Sw Ste B, Altoona, IA 50009 | 2006-10-24 |
1740395771 | Iowa Family Pharmacy Inc | Pharmacy | 325 8th St Se, Altoona, IA 50009 | 2006-08-20 |
Find all providers in zip 50009 |
Taxonomy Code | 363LA2100X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Acute Care |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104456920 | Southern Divine Family Medical Center LLC | Nurse Practitioner | 7130 6th Ave, Altoona, AL 35952-9052 | 2020-01-21 |
1053939900 | Elizabeth Lantznester | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-07-08 |
1184256919 | Alyson Strapple | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2020-02-10 |
1558904631 | Katherine M Ford | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-10-22 |
1962063735 | Victoria Scott | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-06-24 |
1881259638 | Mandi Krach | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-05-07 |
1083171912 | Benjamin Russell Stape | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2019-02-27 |
1730645276 | Camille Haynes Merlin | Nurse Practitioner | 2907 Pleasant Valley Blvd, Altoona, PA 16602-4305 | 2019-02-20 |
1356771406 | Brianne J Baker | Nurse Practitioner | 1414 9th Ave, Altoona, PA 16602-2415 | 2013-11-26 |
1912241969 | David Patrick Bickers | Nurse Practitioner | 620 Howard Ave, Altoona, PA 16601-4804 | 2012-11-15 |
Find all providers in ALTOONA |
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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.