ANDREW JAMES VAN SUMEREN SOTM, WP-C, NRP
NPI 1043006703
Military Health Care Provider in Stennis Space Center, MS

Q: What is Andrew Van Sumeren's NPI number?

The NPI number for Andrew Van Sumeren is 1043006703. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Q: What is Andrew Van Sumeren's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

Active since April 17, 2025

2603 LOWER GAINSVILLE ROAD, STENNIS SPACE CENTER, MS 39529(906) 440-8323 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Andrew James Van Sumeren Sotm, Wp-c, Nrp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW JAMES VAN SUMEREN SOTM, WP-C, NRP (NPI 1043006703) is an individual military health care provider provider in Stennis Space Center, Mississippi and active in the NPI registry since April 2025.

NPPES Registry Identity

NPI1043006703

Entity TypeIndividualMale

Primary Taxonomy171000000X

Provider Legal NameANDREW JAMES VAN SUMERENCredential: SOTM, WP-C, NRP

Location Address2603 LOWER GAINSVILLE ROADStennis Space Center, MS 39529-0001

Mailing Address353 State StBay St Louis, MS 39520-4433 · (906) 440-8323

Phone(906) 440-8323

Sole ProprietorNo

Enumeration DateApril 17, 2025

NPPES CertifiedApril 17, 2025

✔ NPI 1043006703 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMilitary Health Care ProviderOther Service Providers

Taxonomy Code171000000X

Definition

Active duty military health care providers not otherwise classified who need to be separately identified for operational, clinical, or administrative processes.

2603 LOWER GAINSVILLE ROAD, Stennis Space Center, MS 39529

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Van Sumeren's NPI number?

The NPI number for Andrew Van Sumeren is 1043006703. It was assigned to this individual provider in the NPPES registry on April 17, 2025.

Where is Andrew Van Sumeren located?

Andrew Van Sumeren practices at 2603 Lower Gainsville Road, Stennis Space Center, MS 39529. The listed phone number is (906) 440-8323.

What is Andrew Van Sumeren's specialty?

The primary specialty registered for this NPI is Military Health Care Provider with taxonomy code 171000000X.

When was this NPI record last updated?

The NPPES record for Andrew Van Sumeren was last updated on April 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.