Active NPI
Kimberly Ann Cummings, RN
- Addiction (Substance Use Disorder) Registered Nurse
- Elmira, NY
National Provider Identifier
1043533441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Registered Nurse
- License
- 743878
- Practice address
- 150 Lake St
Elmira, NY 14901-3401 - Phone
- (607) 737-5215
- NPI assigned
- Mar 12, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Registered Nurse | 163WA0400X | 743878 | NY | Primary |
Addresses
Primary practice location
150 Lake St
Elmira, NY 14901-3401
Mailing address
140 W 6TH St
Corning, NY 14830-3016
Phone (607) 368-1171
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16-1039939 | Other | NY | ALL OTHER INSURANCES |
| 16-1039939 | Medicaid | NY |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kcummings@casa-trinity.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 743878 | NY | MD | Addiction (Substance Use Disorder) Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268352000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617148800000",
"number": "1043533441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 W 6TH ST",
"city": "CORNING",
"state": "NY",
"postal_code": "148303016",
"telephone_number": "607-368-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LAKE ST",
"city": "ELMIRA",
"state": "NY",
"postal_code": "149013401",
"telephone_number": "607-737-5215"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINGS",
"first_name": "KIMBERLY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-03-12",
"last_updated": "2021-03-31",
"certification_date": "2021-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "163WA0400X",
"taxonomy_group": "",
"desc": "Registered Nurse, Addiction (Substance Use Disorder)",
"state": "NY",
"license": "743878",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALL OTHER INSURANCES",
"identifier": "16-1039939",
"state": "NY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "16-1039939",
"state": "NY"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kcummings@casa-trinity.org",
"affiliation": "N",
"endpointDescription": "Company email",
"address_1": "150 Lake St",
"city": "Elmira",
"state": "NY",
"country_code": "US",
"postal_code": "149013401",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Elmira, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.