LISA SUMMERLIN PMHNP-BC
NPI 1083042519
Clinical Nurse Specialist - Psychiatric/Mental Health, Adult in Fallston, MD

Active since October 18, 2013
1814 BEL AIR RD STE 300, FALLSTON, MD 21047(443) 996-5870 Get Directions Write a Review

NPPES record last updated: June 4, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Lisa Summerlin Pmhnp-bc NPPES

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

LISA SUMMERLIN PMHNP-BC (NPI 1083042519) is an individual psychiatric/mental health, adult provider in Fallston, Maryland, licensed in Maryland (R191100) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1083042519
Entity TypeIndividualFemale
Primary Taxonomy364SP0809X
Provider Legal NameLISA SUMMERLINCredential: PMHNP-BC
Location Address1814 BEL AIR RD STE 300Fallston, MD 21047-2730
Mailing AddressPo Box 372Hampstead, MD 21074-0372
Sole ProprietorYes
Enumeration DateOctober 18, 2013
Last NPPES UpdateJune 4, 2024
NPPES CertifiedJune 4, 2024
NPI 1083042519 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyClinical Nurse Specialist · Psychiatric/Mental Health, AdultPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code364SP0809X
License Licensed in MD · R191100
Also ListedRegistered NurseTaxonomy 163W00000X · License R191100 (MD)
1814 BEL AIR RD STE 300, Fallston, MD 21047

Other Providers at the Same Location NPPES 4

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

Nurse Practitioner (Psychiatric/Mental Health)
1814 BEL AIR RD STE 300
FALLSTON, MD 21047
Nurse Practitioner (Psychiatric/Mental Health)
1814 BEL AIR RD STE 300
FALLSTON, MD 21047
Nurse Practitioner (Psychiatric/Mental Health)
1814 BEL AIR RD STE 300
FALLSTON, MD 21047
Nurse Practitioner (Psychiatric/Mental Health)
1814 BEL AIR RD STE 300
FALLSTON, MD 21047

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 Lisa Summerlin's NPI number?

The NPI number for Lisa Summerlin is 1083042519. It was assigned to this individual provider in the NPPES registry on October 18, 2013.

Where is Lisa Summerlin located?

Lisa Summerlin practices at 1814 Bel Air Rd Ste 300, Fallston, MD 21047. The listed phone number is (443) 996-5870.

What is Lisa Summerlin's specialty?

The primary specialty registered for this NPI is Clinical Nurse Specialist, specializing in Psychiatric/Mental Health, Adult, with taxonomy code 364SP0809X.

When was this NPI record last updated?

The NPPES record for Lisa Summerlin was last updated on June 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.