Angela Yvonne Cundiff-Roy, ARNP

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

2287P Issued in 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

Last updated

Feb 22, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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

• Avante Garde Health Centers, LLC

  • Primary Care Clinic/Center
  • Russell Springs, KY
  • NPI 1407125016
  NPD (past) Authorized official
• Southern Kentucky Medical Associates, PSC

  • General Practice Physician
  • Russell Springs, KY
  • NPI 1821392515
  NPD (past) Authorized official
• Southern Ky Medical Associates

  • Adult Health Clinical Nurse Specialist
  • Russell Springs, KY
  • NPI 1508196262
  Authorized official Same address or phone
• Adair County Hospital District

  dba Westlake Regional Hospital

  • General Acute Care Hospital
  • Columbia, KY
  • NPI 1023083060
  NPD (past)
• ER & Associates

  dba Southern Ky Medical Association

  • Nurse Practitioner
  • Russell Springs, KY
  • NPI 1063645158
  NPD (past)
• Greenview Primecare, LLC.

  • Family Medicine Physician
  • Bowling Green, KY
  • NPI 1427267368

  Internal Medicine

  NPD (past)
• Greenview Specialty Associates LLC

  • Neurological Surgery Physician
  • Bowling Green, KY
  • NPI 1861670416
  NPD (past)
• Westlake Regional Hospital Medical Group

  • Emergency Medicine Physician
  • Columbia, KY
  • NPI 1225238512
  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298332800000",
    "number": "1821068552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1383",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "426421383",
            "telephone_number": "270-866-4357",
            "fax_number": "270-858-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 JOE T. PETTEY DR.",
            "city": "RUSSELL SPRINGS",
            "state": "KY",
            "postal_code": "42642",
            "telephone_number": "270-866-4357",
            "fax_number": "270-858-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF-ROY",
        "first_name": "ANGELA",
        "middle_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2011-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "2287P",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "2287P",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cumberland Family Medical Center Inc (Salem Elementary Healthy Kids Clinic)
• Cumberland Family Medical Center Inc
• Cumberland Family Medical Center Inc (Russell County Middle Healthy Kids Clinic)
• Cumberland Family Medical Center Inc (Russell Springs Elementary Healthy Kids Clinic)
• Cumberland Foot and Ankle Center
• Natalie Ann Curry-Sanders, LCADC, CSW
• Downey Eye Clinic, PLLC
• Robin Duvall, LPCC
• Abigail L Eads, RDN, LDN, CN
• Megan Ashley Embry, DPM

• Internal Medicine Physician in Russell Springs, KY
• Providers in Russell Springs, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.