Active NPI
Kimberly M Cumings, PAC
- Physician Assistant
- Hickory Creek, TX
National Provider Identifier
1821100017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA02545
- Practice address
- 3600 FM 2181 Ste 100
Hickory Creek, TX 75065-7636 - Phone
- (940) 498-4422
- Fax
- (940) 321-1045
- NPI assigned
- Aug 31, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA02545 | TX | Primary |
Addresses
Primary practice location
3600 FM 2181 Ste 100
Hickory Creek, TX 75065-7636
Mailing address
3600 FM 2181 Ste 100
Hickory Creek, TX 75065-7636
Phone (940) 498-4422
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00149080 | Other | RRM |
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
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA02545 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Past | Accepting new patients | |
| Bryan H. Minton, MD, PA | Past | Accepting new patients |
Organizations & group practices 2
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438560000000",
"number": "1821100017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3600 FM 2181 STE 100",
"city": "HICKORY CREEK",
"state": "TX",
"postal_code": "750657636",
"telephone_number": "940-498-4422",
"fax_number": "940-321-1045"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3600 FM 2181 STE 100",
"city": "HICKORY CREEK",
"state": "TX",
"postal_code": "750657636",
"telephone_number": "940-498-4422",
"fax_number": "940-321-1045"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUMINGS",
"first_name": "KIMBERLY",
"middle_name": "M",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2015-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA02545",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RRM",
"identifier": "P00149080",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Hickory Creek, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.