Active NPI
Joan Marie Cummiskey, RN
- Registered Nurse
- Crystal City, MO
National Provider Identifier
1063603728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 142865
- Practice address
- 5 Industrial Drive
Crystal City, MO 63019 - Phone
- (636) 933-1200
- NPI assigned
- Aug 7, 2007
- Last updated
- Aug 7, 2007
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 142865 | MO | Primary |
Addresses
Primary practice location
5 Industrial Drive
Crystal City, MO 63019
Mailing address
PO Box 193
Crystal City, MO 63019-0193
Phone (314) 808-1639
Other names 1
- Joan Marie Cummiskey
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 |
|---|---|---|---|
| 142865 | MO | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186444800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186444800000",
"number": "1063603728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 193",
"city": "CRYSTAL CITY",
"state": "MO",
"postal_code": "630190193",
"telephone_number": "314-808-1639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 INDUSTRIAL DRIVE",
"city": "CRYSTAL CITY",
"state": "MO",
"postal_code": "63019",
"telephone_number": "636-933-1200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMISKEY",
"first_name": "JOAN",
"middle_name": "MARIE",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-07",
"last_updated": "2007-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "MO",
"license": "142865",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JOAN",
"last_name": "CUMMISKEY",
"middle_name": "MARIE",
"credential": "RN",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Crystal City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.