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AMANDA SUMMERVILLE
NPI 1043972169
Clinic/Center - Student Health in Sparks, NV

Active since October 06, 2021
1963 E PRATER WAY STE 101, SPARKS, NV 89434(775) 636-6269 Get Directions Write a Review

NPPES record last updated: October 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amanda Summerville NPPES

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

AMANDA SUMMERVILLE (NPI 1043972169) is an individual student health provider in Sparks, Nevada and active in the NPI registry since October 2021.

NPPES Registry Identity

NPI1043972169
Entity TypeIndividualFemale
Primary Taxonomy261QS1000X
Provider Legal NameAMANDA SUMMERVILLE
Location Address1963 E PRATER WAY STE 101Sparks, NV 89434-8938
Mailing Address1963 E Prater Way Ste 101Sparks, NV 89434-8938 · (775) 636-6269
Phone(775) 636-6269
Sole ProprietorYes
Enumeration DateOctober 6, 2021
NPPES CertifiedSeptember 2, 2021
✔ NPI 1043972169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Student HealthAmbulatory Health Care Facilities
Taxonomy Code261QS1000X
1963 E PRATER WAY STE 101, Sparks, NV 89434
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Other Providers at the Same Location NPPES 15

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALEXANDRIA WEAVER
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269
SHARON M TOKI
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269
CHALEE LARAE MEDLIN
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269
LADONNA MILLER
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269
MRS. TAMARA L MCMAHON
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269
AUTUMN COREY MONTECINO
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269
ELIZABETH LORRAINE ARAUJO
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269
GRETCHEN YVONNE CALDWELL
Home Health Aide
1963 E PRATER WAY STE 101
SPARKS, NV 89434
Washoe County (775) 636-6269

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 Amanda Summerville's NPI number?

The NPI number for Amanda Summerville is 1043972169. It was assigned to this individual provider in the NPPES registry on October 6, 2021.

Where is Amanda Summerville located?

Amanda Summerville practices at 1963 E Prater Way Ste 101, Sparks, NV 89434. The listed phone number is (775) 636-6269.

What is Amanda Summerville's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Student Health, with taxonomy code 261QS1000X.

When was this NPI record last updated?

The NPPES record for Amanda Summerville was last updated on October 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.