Active NPI
Velda R Cummins, APRN
- Family Nurse Practitioner
- Beaver Dam, KY
National Provider Identifier
1780924514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11022298
- Practice address
- 1213 N Main St
Beaver Dam, KY 42320-8955 - Phone
- (270) 274-4771
- Fax
- (270) 274-4884
- NPI assigned
- Feb 14, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 3007889 | KY | |
| Family Nurse Practitioner | 363LF0000X | 11022298 | FL | Primary |
Addresses
Primary practice location
1213 N Main St
Beaver Dam, KY 42320-8955
Mailing address
2449 Kingstree PL
The Villages, FL 32162-2649
Phone (270) 799-1789
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11022298 | FL | MD | Family Nurse Practitioner |
Interoperability endpoints
- rneidlinger47360@direct.owensborohealth.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360800000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1780924514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2449 KINGSTREE PL",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622649",
"telephone_number": "270-799-1789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1213 N MAIN ST",
"city": "BEAVER DAM",
"state": "KY",
"postal_code": "423208955",
"telephone_number": "270-274-4771",
"fax_number": "270-274-4884"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMMINS",
"first_name": "VELDA",
"middle_name": "R",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-14",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3007889",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11022298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beaver Dam, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.