Angela Yvonne Cundiff-Roy, ARNP
Individual provider Active NPI Internal Medicine Physician · Russell Springs, KY
NPI 1821068552 · NPPES record last updated Feb 22, 2011
Key facts
- NPI
- 1821068552
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2287P (KY)
- Practice address
- 72 Joe T. Pettey Dr.
Russell Springs, KY 42642 - Phone
- (270) 866-4357
- Fax
- (270) 858-4957
- NPI assigned
- Jan 25, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2287P | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greenview Primecare, LLC. | Internal Medicine | Past | Accepting new patients |
| Avante Garde Health Centers, LLC | Past | Accepting new patients | |
| Westlake Regional Hospital Medical Group | Past | Accepting new patients | |
| Adair County Hospital District | Past | Accepting new patients | |
| ER & Associates | Nurse Practitioner | Past | Accepting new patients |
| Greenview Specialty Associates LLC | Past | Accepting new patients | |
| Southern Kentucky Medical Associates, PSC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2287P | KY | Yes |
| Nurse Practitioner | 363L00000X | 2287P | KY |
Addresses
Primary practice location
72 Joe T. Pettey Dr.
Russell Springs, KY 42642
Mailing address
PO Box 1383
Russell Springs, KY 42642-1383
Phone (270) 866-4357
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 78001266 | Medicaid | KY |
Other providers in Russell Springs, KY
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Family Medical Center Inc
- Cumberland Foot and Ankle Center
- Natalie Ann Curry-Sanders
- Downey Eye Clinic, PLLC
- Robin Duvall
- Abigail L Eads
- Megan Ashley Embry
All providers in Russell Springs, KY · Internal Medicine Physician in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 22, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.