Alena Vladimirovna Cundiff

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

1007049 Issued in TX

Practice address

7321 Southern Belle Cir
Abilene, TX 79602-1550

Phone

(432) 222-7177

NPI assigned

Jul 30, 2020

Last updated

Jul 2, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1821607219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1210 CEDAR CREEK RD",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797054471",
            "telephone_number": "432-254-1757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7321 SOUTHERN BELLE CIR",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796021550",
            "telephone_number": "432-222-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNDIFF",
        "first_name": "ALENA",
        "middle_name": "VLADIMIROVNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1007049",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Nurse Practitioner in Abilene, TX
• Providers in Abilene, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; 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.