DIANE W CUNNINGHAM RN BC FNP NPI 1720025430

NPI Information

NPI: 1720025430
Provider Name: DIANE W CUNNINGHAM, RN, BC, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
4330 WORNALL RD
SUITE 2000
KANSAS CITY, MO
ZIP 64111
Phone: (816) 931-1883
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Diane W Cunningham, RN, BC, FNP is a family nurse practitioner in Kansas City, MO. Diane W Cunningham, RN, BC, FNP NPI is 1720025430. 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:

4330 WORNALL RD
SUITE 2000
KANSAS CITY, MO
ZIP 64111-939
Phone: (816) 931-1883
Fax: (816) 756-3645

The NPI 1720025430 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 6/1/2006 and was last updated on 11/7/2017.

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	76727	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	Other Provider Identifier Issuer
1	200003120C	MEDICAID	KANSAS
2	KA2004043	MEDICARE PIN	KANSAS
3	P97622	MEDICARE UPIN
4	P00836077	OTHER	MISSOURI	RAILROAD MEDICARE
5	429425408	MEDICAID	MISSOURI
6	200003120A	MEDICAID	KANSAS
7	MA2492009	MEDICARE PIN	MISSOURI
8	KA1724043	MEDICARE PIN	KANSAS
9	P00842718	OTHER	KANSAS	RAILROAD MEDICARE
10	200003120D	MEDICAID	KANSAS
11	MA2491009	MEDICARE PIN	MISSOURI

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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