PATRICIA ALEXA SUMMERFORD (NPI# 1669430575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669430575 |
| Entity Type | Individual |
| Full Name | PATRICIA ALEXA SUMMERFORD |
| Credential | APRN |
| Practice Address |
104 East Highway 60 Mountain View MO 65548-7381 |
| Mailing Address |
Po Box 505164 Saint Louis MO 63150-5164 |
| Practice Telephone | 4179342251 |
| Practice Fax Number | 4179342871 |
| Mailing Telephone | 4178294620 |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2014-03-26 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
129188 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | PALMETTO GBA/RR MEDICARE | P00852026 | 01 |
| MO | 428643639 | 05 | |
| MO | 1669430575 | 05 |
| Street Address |
104 EAST HIGHWAY 60 |
| City | MOUNTAIN VIEW |
| State | MO |
| Zip Code | 65548-7381 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063850584 | Mercy St Francis Hospital | Clinic/Center | 104 East Highway 60, Mountain View, MO 65548 | 2013-06-06 |
| 1003946732 | Mercy Clinic Springfield Communities | Family Medicine | 104 East Highway 60, Mountain View, MO 65548 | 2007-03-06 |
| 1871675702 | Michael K. Gaddy | Physician Assistant | 104 East Highway 60, Mountain View, MO 65548 | 2006-10-19 |
| 1780766618 | Coralee M. Thacker-thompson | Nurse Practitioner | 104 East Highway 60, Mountain View, MO 65548 | 2006-10-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306294665 | Mary Elizabeth Waterhouse | Nurse Practitioner | 210 Jackson Street, Mountain View, MO 65548 | 2016-05-27 |
| 1245602598 | Rkj Holdings LLC | Pharmacy | 508-2 W. Us 60, Mountain View, MO 65548 | 2015-10-27 |
| 1790176881 | Willow Health Care Inc | Assisted Living Facility | 1211 N Ash, Mountain View, MO 65548 | 2015-02-10 |
| 1861545097 | Scott Keith Bowden | Dentist | 408#1 West Us Highway 60, Mountain View, MO 65548 | 2007-01-19 |
| 1366534455 | Russell S Schierling | Chiropractor | 1219 Hwy 17 South, Mountain View, MO 65548 | 2006-09-28 |
| 1023053477 | Mercy St. Francis Hospital | General Acute Care Hospital | 100 West Highway 60, Mountain View, MO 65548 | 2006-06-19 |
| 1871570887 | Spartan Sleep Studies | Clinic/Center | 508-3 W Hwy 60, Mountain View, MO 65548 | 2005-12-30 |
| 1528275955 | St Francis Hospital | Durable Medical Equipment & Medical Supplies | 512-1 W Us Highway 60, Mountain View, MO 65548 | 2007-05-16 |
| 1851427892 | Ernesto L Carampatan | Emergency Medicine | 100 West Highway 60, Mountain View, MO 65548 | 2007-02-26 |
| 1043357015 | Mercy St. Francis Hospital | Medicare Defined Swing Bed Unit | 100 W Us Highway 60, Mountain View, MO 65548 | 2007-01-31 |
| Find all providers in zip 65548 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871141945 | Cindy Crystal Wong | Nurse Practitioner | 2630 West El Camino Real, Mountain View, CA 94040 | 2019-08-30 |
| 1578037859 | Katie Lutz | Nurse Practitioner | 151 Calderon Ave Apt 182, Mountain View, CA 94041-1444 | 2019-01-19 |
| 1407335847 | Carla Sue Langston | Nurse Practitioner | 2110 E Main St, Mountain View, AR 72560-6439 | 2018-08-07 |
| 1801306485 | Jordan Evans Matthews | Nurse Practitioner | 2490 Hospital Dr Ste 309, Mountain View, CA 94040-4125 | 2017-10-09 |
| 1013377415 | Charles Grinder | Nurse Practitioner | 102 Mountain Place Dr Ste C, Mountain View, AR 72560 | 2016-02-26 |
| 1790142859 | Baxter Regional Health System | Nurse Practitioner | 803 W Main St., Mountain View, AR 72560 | 2016-01-20 |
| 1518337732 | Beverly Clark | Nurse Practitioner | 803 West Main Street, Mountain View, AR 72560 | 2015-09-30 |
| 1437557451 | Cheri Kai | Nurse Practitioner | 580 N Rengstorff Ave, Mountain View, CA 94043-2894 | 2014-12-08 |
| 1588905236 | Lisa Christine Gavin Kucera | Nurse Practitioner | 2485 Hospital Dr Ste 321, Mountain View, CA 94040-4103 | 2013-03-05 |
| 1326301177 | Heather Blythe Delagi | Nurse Practitioner | 465 Fairchild Dr Ste 112, Mountain View, CA 94043-2254 | 2012-06-18 |
| Find all providers in MOUNTAIN VIEW | ||||
| City | MOUNTAIN VIEW |
| Zip Code | 65548 |
Please comment or provide details below to improve the information on PATRICIA ALEXA SUMMERFORD.
| 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.