Misty Cummings, RN
Individual provider Active NPI Registered Nurse · Gillette, WY
NPI 1124447602 · NPPES record last updated Apr 10, 2014
Key facts
- NPI
- 1124447602
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Nurse 163W00000X
- License
- 21553 (WY)
- Practice address
- 2815 Castle Pines Dr
Gillette, WY 82718-5501 - Phone
- (307) 680-9070
- NPI assigned
- Apr 10, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21553 | WY | MD | General Practice Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 21553 | WY | Yes |
| General Practice Registered Nurse | 163WG0000X | 21553 | WY |
Addresses
Primary practice location
2815 Castle Pines Dr
Gillette, WY 82718-5501
Mailing address
2815 Castle Pines Dr
Gillette, WY 82718-5501
Phone (307) 680-9070
Other providers in Gillette, WY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 10, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.