Provider Demographics
NPI:1902217847
Name:CUMMINS, AMANDA (BA)
Entity Type:Individual
Prefix:
First Name:AMANDA
Middle Name:
Last Name:CUMMINS
Suffix:
Gender:F
Credentials:BA
Other - Prefix:
Other - First Name:AMANDA
Other - Middle Name:
Other - Last Name:GERBER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12050 N. PECOS ST.
Mailing Address - Street 2:STE #170
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80234
Mailing Address - Country:US
Mailing Address - Phone:720-648-8285
Mailing Address - Fax:720-808-1594
Practice Address - Street 1:8931 HURON ST
Practice Address - Street 2:
Practice Address - City:THORNTON
Practice Address - State:CO
Practice Address - Zip Code:80260-6806
Practice Address - Country:US
Practice Address - Phone:303-853-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-14
Last Update Date:2018-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator