Jennifer Kreps Cupp, CRNP

Primary specialty

Pediatric Registered NurseTaxonomy code 163WP0200X

License

1-090307 Issued in AL

Practice address

1948 Alabama Highway 157
Suite 330 Cullman Medical and Pediatric Associates, P.C
Cullman, AL 35058-0643

Phone

(256) 739-3838

Fax

(256) 739-8350

NPI assigned

Jul 10, 2010

Last updated

Jul 10, 2010By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1278720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278720000000",
    "number": "1225340946",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 ALABAMA HIGHWAY 157",
            "address_2": "SUITE 330 CULLMAN MEDICAL AND PEDIATRIC ASSOCIATES, P.C",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580643",
            "telephone_number": "256-739-1552",
            "fax_number": "256-739-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 ALABAMA HIGHWAY 157",
            "address_2": "SUITE 330 CULLMAN MEDICAL AND PEDIATRIC ASSOCIATES, P.C",
            "city": "CULLMAN",
            "state": "AL",
            "postal_code": "350580643",
            "telephone_number": "256-739-3838",
            "fax_number": "256-739-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUPP",
        "first_name": "JENNIFER",
        "middle_name": "KREPS",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-10",
        "last_updated": "2010-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Pediatrics",
            "state": "AL",
            "license": "1-090307",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "529903010",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cullman Spine Institute Inc
• Cullman Surgical Associates, P.C.
• Cullman Urology, P C
• Cultivate Clinical Counseling, LLC
• Hunter Dale Cunningham, PHARMD
• Meagan Holt Curry, RN IBCLC
• Betty M Curtis, MSW
• Chanda Dabbs
• Sarah Josephine Daily, LPC
• Daniel Olivero MD Alabama HC PC

• Pediatric Registered Nurse in Cullman, AL
• Providers in Cullman, AL by specialty
• Pediatric Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2010; 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.