MARK A SUMMERLIN RD
NPI 1083304380
Dietitian, Registered in Albuquerque, NM

Active since May 10, 2023
4701 MONTGOMERY BLVD NE, ALBUQUERQUE, NM 87109(505) 727-7022 Get Directions Write a Review

NPPES record last updated: May 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mark A Summerlin Rd NPPES

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

MARK A SUMMERLIN RD (NPI 1083304380) is an individual dietitian, registered in Albuquerque, New Mexico, licensed in New Mexico (LD2023090) and active in the NPI registry since May 2023.

NPPES Registry Identity

NPI1083304380
Entity TypeIndividualMale
Primary Taxonomy133V00000X
Provider Legal NameMARK A SUMMERLINCredential: RD
Location Address4701 MONTGOMERY BLVD NEAlbuquerque, NM 87109-1219
Mailing Address1150 Monte Vista DrBosque Farms, NM 87068-9238 · (505) 480-5752
Sole ProprietorNo
Enumeration DateMay 10, 2023
NPPES CertifiedMay 10, 2023
NPI 1083304380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License Licensed in NM · LD2023090
Definition

A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.

4701 MONTGOMERY BLVD NE, Albuquerque, NM 87109

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Nurse Practitioner (Family)
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Occupational Therapist
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Nurse Anesthetist, Certified Registered
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Massage Therapist
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Emergency Medicine
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Midwife
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109
Physical Therapist
4701 MONTGOMERY BLVD NE
ALBUQUERQUE, NM 87109

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 Mark Summerlin's NPI number?

The NPI number for Mark Summerlin is 1083304380. It was assigned to this individual provider in the NPPES registry on May 10, 2023.

Where is Mark Summerlin located?

Mark Summerlin practices at 4701 Montgomery Blvd NE, Albuquerque, NM 87109. The listed phone number is (505) 727-7022.

What is Mark Summerlin's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

When was this NPI record last updated?

The NPPES record for Mark Summerlin was last updated on May 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.