BRENDA M. CUPP DNP NPI 1366530628

NPI Information

NPI: 1366530628
Provider Name: BRENDA M. CUPP, DNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
100 MERCY WAY
SUITE 320-330
JOPLIN, MO
ZIP 64804
Phone: (417) 781-5387
Get Directions

Brenda M. Cupp, DNP is a family nurse practitioner in Joplin, MO with 8 years of experience. Brenda M. Cupp, DNP NPI is 1366530628. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

100 MERCY WAY
SUITE 320-330
JOPLIN, MO
ZIP 64804-524
Phone: (417) 781-5387
Fax: (417) 781-7174

The NPI 1366530628 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/11/2006 and was last updated on 11/17/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	123412	MISSOURI	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	MA2082106	MEDICARE PIN	MISSOURI
2	200096720A	MEDICAID	OKLAHOMA
3	424021004	MEDICAID	MISSOURI
4	200406720B	MEDICAID	KANSAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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