RANDALL K CUNDIFF (NPI# 1104877760) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104877760 |
| Entity Type | Individual |
| Full Name | RANDALL K CUNDIFF |
| Credential | ARNP |
| Practice Address |
107 N Main Cimarron KS 67835 |
| Practice Telephone | 6208554616 |
| Practice Fax Number | 6208554613 |
| Mailing Telephone | 6208554616 |
| Mailing Fax Number | 6208554613 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
44884 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100338290C | 05 |
| Street Address |
107 N MAIN |
| City | CIMARRON |
| State | KS |
| Zip Code | 67835 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225363120 | Usd 102 Cimarron-ensign | Clinic/Center | 314 North 1st Street, Cimarron, KS 67835 | 2009-10-09 |
| 1487787438 | Tom J Hogan | Emergency Medical Technician, Paramedic | 101 W Ave D, Cimarron, KS 67835 | 2007-03-13 |
| 1891705943 | Trevon Trent Burns | Chiropractor | 19307 East Hwy S, Cimarron, KS 67835 | 2006-08-09 |
| 1023352374 | Western Plains Physician Practices, LLC | Nurse Practitioner | 106 North Main Street, Cimarron, KS 67835 | 2012-11-26 |
| 1962794925 | Living Independent Services | Case Manager/Care Coordinator | 706 N Birch St, Cimarron, KS 67835 | 2011-05-10 |
| 1942474135 | Coast Health Services Inc | Pharmacy | 202 N Main St, Cimarron, KS 67835 | 2008-04-17 |
| 1437331097 | Meade Hospital District | Clinic/Center | 106 N Main, Cimarron, KS 67835 | 2007-12-05 |
| 1902003254 | Randall K Cundiff | Family Medicine | 107 N Main St, Cimarron, KS 67835 | 2007-06-29 |
| 1134347313 | Audrey Lane Neuschafer | Counselor | 317 N Main St, Cimarron, KS 67835 | 2007-04-23 |
| 1790835833 | Michael Edward Coast | Pharmacist | 100 West Ave A, Suite B, Cimarron, KS 67835-0191 | 2007-01-11 |
| Find all providers in zip 67835 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316290612 | Jaclyn M Vath | Nurse Practitioner | 104 N. Main St, Cimarron, KS 67835-8819 | 2012-10-24 |
| 1023352374 | Western Plains Physician Practices, LLC | Nurse Practitioner | 106 North Main Street, Cimarron, KS 67835 | 2012-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275132136 | Tina Peck | Nurse Practitioner | 2250 N Rock Rd # 118-266, Wichita, KS 67226-2331 | 2020-10-21 |
| 1407455496 | Edward Mwaura Karanja | Nurse Practitioner | 9121 Schweiger Ct Apt 257, Lenexa, KS 66219-2126 | 2020-10-20 |
| 1467051680 | Debra Kim Lietzke | Nurse Practitioner | 4900 N 126th St, Kansas City, KS 66109-5121 | 2020-10-19 |
| 1487252490 | Angela Lanae Spence | Nurse Practitioner | 618 Garfield St, Clay Center, KS 67432-1823 | 2020-10-12 |
| 1073110482 | Jamely Olaechea | Nurse Practitioner | 8205 E Old Mill Ct, Wichita, KS 67226-4217 | 2020-10-08 |
| 1427655414 | Trent Dylan Befort | Nurse Practitioner | 1012 Green St, Pratt, KS 67124-1311 | 2020-10-03 |
| 1083211031 | Amanda Pierce | Nurse Practitioner | 8717 W 110th St Ste 270, Overland Park, KS 66210-2103 | 2020-10-02 |
| 1902412117 | Davina Rues | Nurse Practitioner | 3876 N Woodlawn Blvd Ste 400, Wichita, KS 67220-2057 | 2020-09-22 |
| 1588270037 | Janie Phillips | Nurse Practitioner | 330 N Vassar St, Wichita, KS 67208-3219 | 2020-09-21 |
| 1437765013 | Anjali Giri | Nurse Practitioner | 9100 E Harry St Apt 1403, Wichita, KS 67207-4850 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.