Kimberly Cunningham, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP61212288 Issued in WA

Practice address

16712 80TH Avenue CT E
Puyallup, WA 98375-8497

Phone

(253) 312-2278

NPI assigned

Aug 8, 2021

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

Medicare fee-for-service enrollment

Enrolled in WA, CA, OR3 enrollments

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.

Enrollment records 3

Specialty

Nurse Practitioner

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dispatchhealth-Ca PCGroup PAC ID 4789086455, 29 clinicians

Dispatchhealth Washington PCGroup PAC ID 2062765423, 44 clinicians

Dispatchhealth-Oregon PCGroup PAC ID 9133458243, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kimberly.cunningham.1@13869.direct.athenahealth.com

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

• Dispatchhealth Washington PC

  • Emergency Medicine Physician
  • Tacoma, WA
  • NPI 1013490507
  Medicare reassignment Care Compare group NPD
• Dispatchhealth-Ca, PC

  • Emergency Medicine Physician
  • Tustin, CA
  • NPI 1639752553
  Medicare reassignment Care Compare group NPD
• Dispatchhealth-Oregon PC

  • Emergency Medicine Physician
  • Portland, OR
  • NPI 1649822990
  Medicare reassignment Care Compare group NPD
• Dispatchhealth Advanced Care - Washington PC

  • Hospitalist Physician
  • Denver, CO
  • NPI 1093324659
  NPD
• Professional Portable Radiologic Services Inc.

  • Physiological Laboratory
  • Houston, TX
  • NPI 1457087991
  NPD (past)
• Simplifed, Inc.

  dba SimpliFed

  • Lactation Consultant (Non-RN)
  • Centennial, CO
  • NPI 1477213635
  NPD (past)

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

{
    "created_epoch": "1628380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628380800000",
    "number": "1427722966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16712 80TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983758497",
            "telephone_number": "253-312-2278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16712 80TH AVENUE CT E",
            "city": "PUYALLUP",
            "state": "WA",
            "postal_code": "983758497",
            "telephone_number": "253-312-2278"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KIMBERLY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-08",
        "last_updated": "2021-08-08",
        "certification_date": "2021-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WA",
            "license": "AP61212288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Culbertson
• Michael D Cull, MD
• Denise R Cummings, ARNP
• Karin Rae Cummings, COTA/L
• Cunningham Family Clinic PLLC
• Lani Curry
• Roger W Curry II
• Kiss'Shonna Curtis, LMT
• Melissa Marie Curtis, RDN
• Keith Custer

• Family Nurse Practitioner in Puyallup, WA
• Providers in Puyallup, WA by specialty
• Family Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.