MR. PHILLIP R CUMMINGS (NPI# 1255324828) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255324828 |
| Entity Type | Individual |
| Full Name | MR. PHILLIP R CUMMINGS |
| Credential | RN,BC,FNP |
| Practice Address |
12 Jefferson Sq De Soto MO 63020-1031 |
| Practice Telephone | 6365866685 |
| Practice Fax Number | 6365862780 |
| Mailing Telephone | 6365866685 |
| Mailing Fax Number | 6365862780 |
| Enumeration Date | 2005-08-29 |
| Last Update Date | 2010-12-02 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
057081 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 425759636 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538363320 | Phillip Wendell Cummings | Counselor | 5131 Classen Cir, Oklahoma City, OK 73118-4418 | 2007-06-13 |
| 1053539155 | Phillip Howard Cummings | Nurse Practitioner | Womack Army Medical Ctr, Family Medicine Residency Clinic, Fort Bragg, NC 28310-0001 | 2007-04-23 |
| 1699874206 | Phillip Cummings | Specialist | 600 S Pine Island Rd, # 300, Plantation, FL 33324-3179 | 2006-09-21 |
| Street Address |
12 JEFFERSON SQ |
| City | DE SOTO |
| State | MO |
| Zip Code | 63020-1031 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548266737 | Steven Crawford | Family Medicine | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2005-06-22 |
| 1720595200 | Danielle Marie Howerton | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2018-01-05 |
| 1033652862 | Michelle Mick | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2016-11-28 |
| 1508264946 | Becky Sue Hammon | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2014-12-17 |
| 1790037885 | Hattie Debord | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2012-10-12 |
| 1245455880 | Rowden Family Medicine, PC | Family Medicine | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2007-04-17 |
| 1689608291 | Jim Clark Sanders | Family Medicine | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2006-07-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700435385 | Patsy Maness | Technician | 5100 Knorpp Road, De Soto, MO 63020 | 2019-09-06 |
| 1013268911 | Jane Susann Brenneke | Counselor | 116 B 2nd Street, Desoto, MO 63020 | 2012-10-02 |
| 1477634277 | Wal-mart Stores East, Lp | Technician/Technologist | 12862 State Road 21, De Soto, MO 63020 | 2006-10-18 |
| 1235109877 | John W Dickinson | Dentist | 704 N Main Street, Desoto, MO 63020 | 2006-01-25 |
| 1700883253 | Valle Ambulance District | Ambulance | 12363 State Route 21, De Soto, MO 63020 | 2005-06-30 |
| 1568893105 | Terence A. Friskel | Dentist | 110 North Main, Desoto, MO 63020 | 2013-12-09 |
| 1457541427 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 12977 State Route 21, De Soto, MO 63020-1000 | 2007-07-26 |
| 1982880084 | Thomas L. Monje, O.d. | Optometrist | 26 Jefferson Sq, De Soto, MO 63020-1031 | 2008-01-18 |
| 1700182318 | Rowden Family Medicine PC | Clinic/Center | 400b W Lueking Dr, De Soto, MO 63020-1042 | 2011-01-28 |
| 1982052759 | Southern Home Care Services, Inc. | In Home Supportive Care | 1809a Rock Rd, De Soto, MO 63020-1047 | 2016-06-02 |
| Find all providers in zip 63020 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700495819 | Meghan Jo Shackleton | Nurse Practitioner | 204 N Reed Station Rd, De Soto, IL 62924-1612 | 2020-07-24 |
| 1861990566 | Travis Thibault | Nurse Practitioner | 8438 Timber Ridge Dr, De Soto, KS 66018-7122 | 2018-01-28 |
| 1437605300 | Summer Lorraine Odom | Nurse Practitioner | 140 Gray Moss Rd, De Soto, GA 31743-2218 | 2016-08-30 |
| 1720595200 | Danielle Marie Howerton | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2018-01-05 |
| 1508264946 | Becky Sue Hammon | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2014-12-17 |
| 1790037885 | Hattie Debord | Nurse Practitioner | 12 Jefferson Sq, De Soto, MO 63020-1031 | 2012-10-12 |
| 1245522655 | Hometown Healthcare of Desoto LLC | Nurse Practitioner | 106 Easton St, De Soto, MO 63020-1706 | 2011-05-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134720816 | Blake Christian Cory | Nurse Practitioner | 615 S Ballas Rd # 2015, Saint Louis, MO 63122-5314 | 2020-11-08 |
| 1336740620 | Courtney J Perkins | Nurse Practitioner | 724 Sw 30th St, Blue Springs, MO 64015-3381 | 2020-11-04 |
| 1467052381 | Kristin Nersesyan | Nurse Practitioner | 916 Sw Bennington Pl, Lees Summit, MO 64081-3700 | 2020-10-29 |
| 1265032346 | Sara Lynn Gillespie | Nurse Practitioner | 2424 S 9th St Apt 215, Saint Louis, MO 63104-4717 | 2020-10-28 |
| 1659971992 | Carrie Ellen Smith | Nurse Practitioner | Mailstop 90-00-174, One Barnes-jewish Plaza, St. Louis, MO 63110 | 2020-10-27 |
| 1417556994 | Tory Linn Francis | Nurse Practitioner | 19155 Fry Rd, Edgerton, MO 64444-9037 | 2020-10-26 |
| 1174123509 | Megan Ashley Wagner | Nurse Practitioner | 10012 Kennerly Rd Ste 406, Saint Louis, MO 63128-2197 | 2020-10-26 |
| 1033718903 | Lisa Jo Moore | Nurse Practitioner | 2623 S Main Street, Nixa, MO 64804 | 2020-10-22 |
| 1831798792 | Alicia Caroline Baker | Nurse Practitioner | 1070 W 7th St, Washington, MO 63090 | 2020-10-21 |
| 1114526266 | Leslie Desha | Nurse Practitioner | 1109 Pheasant Run, Columbia, MO 65201-6253 | 2020-10-20 |
| 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.