Individual provider Active NPI

Catherine Marie Cummings, DC, LAC, FNP

  • Family Nurse Practitioner
  • Valley Spring, TX
National Provider Identifier
1356583835
Registry record updated Dec 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
132713 Issued in TX
Practice address
6552 CR 403
Valley Spring, TX 76885
Phone
(325) 423-1621
Fax
(325) 328-0720
NPI assigned
Mar 31, 2009
Last updated
Dec 12, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 132713 TX Primary
Chiropractor 111N00000X 10379 TX

Addresses

Primary practice location

6552 CR 403
Valley Spring, TX 76885

Mailing address

PO Box 5724
Valley Spring, TX 76885-5724
Phone (325) 423-1621

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Feb 14, 2017 through Feb 14, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
10379TXMDClinical Social Worker
132713TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1238457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481500800000",
    "number": "1356583835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5724",
            "city": "VALLEY SPRING",
            "state": "TX",
            "postal_code": "768855724",
            "telephone_number": "325-423-1621",
            "fax_number": "325-248-0720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6552 CR 403",
            "city": "VALLEY SPRING",
            "state": "TX",
            "postal_code": "76885",
            "telephone_number": "325-423-1621",
            "fax_number": "325-328-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUMMINGS",
        "first_name": "CATHERINE",
        "middle_name": "MARIE",
        "credential": "DC, LAC, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-31",
        "last_updated": "2016-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "132713",
            "primary": true
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "TX",
            "license": "10379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Sources for this page

Verify at the official NPI Registry.