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SHYAN MARIE SUMMERALL
NPI 1093686792
Prosthetist in Raleigh, NC

Active since September 15, 2025
4511 MIMOSA TREE LN APT 1206, RALEIGH, NC 27612(220) 225-1386 Get Directions Write a Review

NPPES record last updated: September 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shyan Marie Summerall NPPES

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

SHYAN MARIE SUMMERALL (NPI 1093686792) is an individual prosthetist provider in Raleigh, North Carolina and active in the NPI registry since September 2025.

NPPES Registry Identity

NPI1093686792
Entity TypeIndividualFemale
Primary Taxonomy224P00000X
Provider Legal NameSHYAN MARIE SUMMERALL
Location Address4511 MIMOSA TREE LN APT 1206Raleigh, NC 27612-7063
Mailing Address4511 Mimosa Tree Ln Apt 1206Raleigh, NC 27612-7063 · (220) 225-1386
Phone(220) 225-1386
Sole ProprietorNo
Enumeration DateSeptember 15, 2025
NPPES CertifiedSeptember 15, 2025
✔ NPI 1093686792 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224P00000X
Definition
A health care professional who is specifically educated and trained to manage comprehensive prosthetic patient care for individuals who have sustained complete or partial limb loss or absence. Prosthetists assess specific patient needs, formulate an appropriate treatment plan, implement the treatment plan and provide follow-up care.
4511 MIMOSA TREE LN APT 1206, Raleigh, NC 27612
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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 Shyan Summerall's NPI number?

The NPI number for Shyan Summerall is 1093686792. It was assigned to this individual provider in the NPPES registry on September 15, 2025.

Where is Shyan Summerall located?

Shyan Summerall practices at 4511 Mimosa Tree Ln Apt 1206, Raleigh, NC 27612. The listed phone number is (220) 225-1386.

What is Shyan Summerall's specialty?

The primary specialty registered for this NPI is Prosthetist with taxonomy code 224P00000X.

When was this NPI record last updated?

The NPPES record for Shyan Summerall was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.