SUMMERFIELD FAMILY PRACTICE LLC NPI 1548553803

NPI Information

  • NPI: 1548553803
  • Provider Name: SUMMERFIELD FAMILY PRACTICE LLC
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Organization
  • Address: 11 DECLARATION DR
    N
    GREENWOOD, IN
    ZIP 46143
  • Phone: (317) 886-7417

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NPI Details

SUMMERFIELD FAMILY PRACTICE LLC is an adult health nurse practitioner in Greenwood, IN. SUMMERFIELD FAMILY PRACTICE LLC NPI is 1548553803. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

11 DECLARATION DR
N
GREENWOOD, IN
ZIP 46143-283
Phone: (317) 886-7417
Fax: (317) 886-7671

The provider's authorized official is Julie A Sandine .
The authorized official title is Owner and has the following contact phone number (317) 408-8480.

The enumeration date for this NPI number is 5/19/2011 and was last updated on 12/6/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1163W00000XRegistered Nurse28084354INDIANANo
2207L00000XAnesthesiology01042621AINDIANANo
3363LF0000XNurse PractitionerFamily71000246AINDIANANo
4363LA2200XNurse PractitionerAdult Health71003812AINDIANAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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