KIMBERLY NICOLE CUNNINGHAM


Address: 1409 Pepperidge Ln, Fort Worth, TX 76131-5205
Phone: 8174120460

KIMBERLY NICOLE CUNNINGHAM (NPI# 1760014005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760014005
Entity Type Individual
Full Name KIMBERLY NICOLE CUNNINGHAM
Credential LBSW
Practice Address 1409 Pepperidge Ln
Fort Worth
TX 76131-5205
Practice Telephone 8174120460
Mailing Telephone 8174120460
Enumeration Date 2020-02-05
Last Update Date 2020-02-05
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 171M00000X Case Manager/Care Coordinator Other Service Providers

Other Providers KIMBERLY CUNNINGHAM

NPI Name Taxonomy Address Enumeration
1649890104 Kimberly Elizabeth Cunningham Pharmacist 5993 E Boulder Dr, Crawfordsville, IN 47933-9733 2020-04-24
1831322262 Kimberly Ann Cunningham Massage Therapist 6858 E 131st Way, Thornton, CO 80602-6945 2009-09-02
1780829655 Kimberly Cunningham Early Intervention Provider Agency 243 Hawthorne Ave, Ames Early Childhood Center, Yonkers, NY 10705 2008-12-08
1326500554 Kimberly Vernetta Cunningham Behavior Technician 421 Fayetteville St Ste 1100, Raleigh, NC 27601-3000 2019-04-05
1114447034 Kimberly R Cunningham Counselor 2115 Westpark Drive, Lorain, OH 44053 2017-06-21
1346677846 Kimberly Cunningham Home Health Aide 7826 Eastern Ave Nw Ste Ll16, Washington, DC 20012-1328 2013-09-30
1992936298 Kimberly Laura Cunningham Optometrist 4212 N 16th St, Phoenix, AZ 85016-5319 2009-08-04
1386893675 Kimberly Ann Cunningham Nurse Practitioner 2400 S Peoria St, Suite 100, Aurora, CO 80014-5476 2008-09-11
1548273485 Kimberly Laquerre Cunningham Physical Therapist 7 Elm St, Suite 204, Enfield, CT 06082-3669 2006-08-14

Office Location

Street Address 1409 PEPPERIDGE LN
City FORT WORTH
State TX
Zip Code 76131-5205

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1497390686 Chigane Abraham Nurse Practitioner 8609 Glenburne Dr, Fort Worth, TX 76131 2019-11-12
1578056016 Anna Spencer Dentist 608 E Bailey Boswell Rd Ste 100, Saginaw, TX 76131 2018-06-10
1396010096 Samuel H. Davis Md Pa Pediatrics 604 E. Bailey Boswell, Suite 140, Saginaw, TX 76131 2012-03-13
1326358961 Chad A. Curlee, D.o., P.a. Family Medicine 2720 Western Center Blvd, Suite 312, Fort Worth, TX 76131 2010-10-18
1184937302 Hemanth Sahukar Dentist 7260 Blue Mound Rd Ste 148, Fort Worth, TX 76131 2010-07-16
1427207174 Er Dental Pllc Dentist 2700 Western Center Blvd, Suite 128, Fort Worth, TX 76131 2008-09-17
1295956787 Michael Robert Jarrard Preventive Medicine Bnsf Railway, 2500 Lou Menk Dr Aob-gl, Fort Worth, TX 76131 2007-05-01
1578692349 Gail Ann Hollar Dentist 2700 Western Center Blvd., #128, Fort Worth, TX 76131 2007-03-05
1588869036 Blue Mound Volunteer Fire Department Emergency Medical Technician, Basic 301 S Blue Mound Rd, Blue Mound, TX 76131-1030 2007-06-15
1114987294 Ronald Richard Redden Specialist/Technologist 800 N Blue Mound Rd, Saginaw, TX 76131-1052 2006-03-24
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Taxonomy Information

Taxonomy Code 171M00000X
Grouping Other Service Providers
Classification Case Manager/Care Coordinator

Taxonomy Definition

A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee’s progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114559127 Dayton Gibbs Case Manager/Care Coordinator 4500 Pecos St, Fort Worth, TX 76119-5166 2020-02-07
1669030367 Children & Family Services Case Manager/Care Coordinator 10129 South Race Street, Fort Worth, TX 76140 2019-05-29
1710543780 Trisha Britton Case Manager/Care Coordinator 9837 Stripling Dr, Fort Worth, TX 76244-5883 2019-05-15
1538622600 Johnathan Wilkerson Case Manager/Care Coordinator 3832 Del Rio Dr, Fort Worth, TX 76133-7106 2019-04-07
1437505955 Stephen Paul Conway Case Manager/Care Coordinator 1307 8th Ave Ste 311, Fort Worth, TX 76104-4140 2016-05-13
1417326711 Guidance Health Care Case Manager/Care Coordinator 6713 Bridge St #213, Fort Worth, TX 76112-0817 2015-09-17
1437530680 Ronelle Boyd Case Manager/Care Coordinator 7109 Canisius Ct, Fort Worth, TX 76120-1383 2015-06-13
1316327588 Dennis Miller II Case Manager/Care Coordinator 6731 Bridge St # 213, Fort Worth, TX 76112-0817 2015-06-03
1972900686 Tiffany Tynes Case Manager/Care Coordinator 4629 Riverpark Dr, Fort Worth, TX 76137-1835 2014-11-24
1437555075 Cynthia Edwards Case Manager/Care Coordinator 3921 Fox Run Dr, Fort Worth, TX 76123-2511 2014-11-10
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Competitor

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City FORT WORTH
Zip Code 76131

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Dataset Information

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.

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