Kimberly Kristin Cummings, FNP-C
Individual provider Active NPI Family Nurse Practitioner · Roanoke, AL
NPI 1104472208 · NPPES record last updated Sep 30, 2019
Key facts
- NPI
- 1104472208
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Nurse Practitioner 363LF0000X
- License
- 1-149155 (AL)
- Practice address
- 1950 Main St
Roanoke, AL 36274-2512 - Phone
- (334) 863-2311
- NPI assigned
- Aug 14, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Regional Health Management Corporation
Practice addresses (Care Compare)
1950 Main St
Roanoke, AL 36274-2512
Phone (334) 863-2311
Hospital & facility affiliations
- Northeast Alabama Regional Medical Center
- Eamc - Lanier
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191112002053 | AL | Practitioner - Nurse Practitioner | 0042642100 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-149155 | AL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Health Management Corporation | Current |
Accepting new patients | |
| Regional Health Management Corporation | Current |
Accepting new patients |
Locations
901 Leighton Ave
Ste 204
Anniston, AL 36207
Phone (256) 235-5015
1950 Main St
Roanoke, AL 36274
Phone (256) 236-4121
Interoperability endpoints
- kimberly.cummings.1@15682.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 1-149155 | AL | |
| Family Nurse Practitioner | 363LF0000X | 1-149155 | AL | Yes |
Addresses
Primary practice location
1950 Main St
Roanoke, AL 36274-2512
Mailing address
PO Box 2345
Anniston, AL 36202-2345
Phone (334) 863-1249
Other providers in Roanoke, AL
- Kiley Black
- Holly Bozeman
- Laurie Anne Browning
- Chasing Smiles LLC
- Countryside Hospice Care Inc
- Heather Kay Daniel
- David W. Towers, DMD, LLC
- Dr Charles J Brazeal P C
- Eagle Drugs LLC
- Elite Rehab Inc
All providers in Roanoke, AL · Family Nurse Practitioner in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.