Kelsey Cunningham, EIS, LBSW

Primary specialty

SpecialistTaxonomy code 174400000X

License

15-0037 Issued in TX

Practice address

1709 10TH St
Wichita Falls, TX 76301-5010

Phone

(940) 696-6200

Fax

(940) 696-6210

NPI assigned

Feb 8, 2018

Last updated

Feb 8, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Kelsey Miller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Helen Farabee Centers

  • Case Management Agency
  • Wichita Falls, TX
  • NPI 1093833154
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1518048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518048000000",
    "number": "1114426848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9996 COUNTY LINE RD N",
            "city": "ELECTRA",
            "state": "TX",
            "postal_code": "763603606",
            "telephone_number": "806-731-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1709 10TH ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763015010",
            "telephone_number": "940-696-6200",
            "fax_number": "940-696-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KELSEY",
        "credential": "EIS, LBSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-08",
        "last_updated": "2018-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "TX",
            "license": "59451",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "15-0037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "MILLER",
            "credential": "EIS, LBSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kymberly Kirk Cullar, FNP
• Megan Elizabeth Cummings, PMHNP-BC
• Dylan Ray Cummins
• Heidi Marlene Cummins, LBSW, EIS
• Dru Cunningham, PTA
• Melody Renee Cunningham, PTA
• Alicia Cure, MSN, NP-C
• Cody Cure
• Thomas James Curran, D.D.S.
• CVS Pharmacy Inc (CVS Pharmacy # 06841)

• Specialist in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.