Misty A Cundiff, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

3008547 Issued in KY

Practice address

1 S Creek Dr
Ste. 102
Monticello, KY 42633-9472

Phone

(606) 348-3365

Fax

(606) 348-8496

NPI assigned

Jan 29, 2014

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

Enrolled in KY

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 1

Specialty

Nurse Practitioner

Education

Lincoln Memorial University Medical Department, 2013

Medicare assignment

May accept Medicare assignment

Group practices

Faith Healthcare Inc 26 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Lifeline Health Care of Pulaski Home health agency, Somerset, KY, CCN 187099
• Lake Cumberland Regional Hospital Hospital, Somerset, KY, CCN 180132

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21269/brand/3/csg/1/fhir/r4

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.

• Faith Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Monticello, KY
  • NPI 1053964965

  Family, KY

  Medicare reassignment Care Compare group NPD
• Lake Cumberland Regional Hospital LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1861078685

  Family, KY

  Medicare reassignment NPD
• Faith Healthcare Inc

  • Federally Qualified Health Center (FQHC)
  • Mount Vernon, KY
  • NPI 1790541431
  Care Compare group NPD
• Faith Healthcare Inc.

  • Federally Qualified Health Center (FQHC)
  • Science Hill, KY
  • NPI 1093396376
  Care Compare group
• Faith Healthcare Inc.

  • Federally Qualified Health Center (FQHC)
  • Somerset, KY
  • NPI 1285591008
  Care Compare group
• Faith Healthcare Inc.

  • Federally Qualified Health Center (FQHC)
  • London, KY
  • NPI 1336006154
  Care Compare group
• Faith Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Nancy, KY
  • NPI 1821690777
  Care Compare group
• Lake Cumberland Regional Hospital LLC

  • Rural Health Clinic/Center
  • Somerset, KY
  • NPI 1023155462
  NPD
• Lake Cumberland Regional Hospital, LLC

  • Internal Medicine Physician
  • Somerset, KY
  • NPI 1447330451

  Family

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Lake Cumberland Regional Hospital LLC

  • Rural Acute Care Hospital
  • Somerset, KY
  • NPI 1619038247

  Hospital

  Care Compare affiliation
• Lifeline Home Health Care of Somerset, LLC

  • Home Health Agency
  • Somerset, KY
  • NPI 1114951993
  Care Compare affiliation

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

{
    "created_epoch": "1390953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492473600000",
    "number": "1497178347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 S CREEK DR",
            "address_2": "STE. 102",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339472",
            "telephone_number": "606-348-3365",
            "fax_number": "606-348-8496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 S CREEK DR",
            "address_2": "STE. 102",
            "city": "MONTICELLO",
            "state": "KY",
            "postal_code": "426339472",
            "telephone_number": "606-348-3365",
            "fax_number": "606-348-8496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "MISTY",
        "middle_name": "A",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-29",
        "last_updated": "2017-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "KY",
            "license": "3008547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100299140",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cumberland Family Medical Center Inc
• Cumberland Family Medical Center Inc
• Cumberland Foot and Ankle Center
• Cumberland Gastroenterology, P.S.C.
• Cumberland Valley Behavioral Health LLC
• David B Mayer D O P S C
• Wendy Parnell Denney, LPCC
• Michelle Dennis, APRN
• Diagnostic Radiology of London
• Diagnostic Radiology of London PSC

• All providers in Monticello, KY
• Family Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2017; 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.