Individual provider Active NPI

Kimberly Ann Cunningham, NP

  • Gerontology Nurse Practitioner
  • Denver, CO
National Provider Identifier
1386893675
Registry record updated Jul 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
168911 Issued in CO
Practice address
695 S Colorado Blvd Ste 160
Denver, CO 80246-8090
Phone
(720) 650-4660
Fax
(720) 378-4698
NPI assigned
Sep 11, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 168911 CO Primary

Addresses

Primary practice location

695 S Colorado Blvd Ste 160
Denver, CO 80246-8090

Mailing address

695 S Colorado Blvd Ste 160
Denver, CO 80246-8090
Phone (720) 650-4660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
168911COMDGerontology Nurse Practitioner

Interoperability endpoints

  • Direct secure messaging: kcunningham@cc-co.direct.office.nextgen.com

NPI Registry JSON

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

{
    "created_epoch": "1221091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783814400000",
    "number": "1386893675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "695 S COLORADO BLVD STE 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468090",
            "telephone_number": "720-650-4660",
            "fax_number": "720-378-4698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "695 S COLORADO BLVD STE 160",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802468090",
            "telephone_number": "720-650-4660",
            "fax_number": "720-378-4698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-11",
        "last_updated": "2026-07-12",
        "certification_date": "2026-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "CO",
            "license": "168911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.