Provider Demographics
NPI:1780560953
Name:CUMMINGS, THOMAS JR (RN)
Entity type:Individual
Prefix:
First Name:THOMAS
Middle Name:
Last Name:CUMMINGS
Suffix:JR
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16031 KINGS WAY DR
Mailing Address - Street 2:
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99516-6982
Mailing Address - Country:US
Mailing Address - Phone:312-523-6896
Mailing Address - Fax:
Practice Address - Street 1:16031 KINGS WAY DR
Practice Address - Street 2:
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99516-6982
Practice Address - Country:US
Practice Address - Phone:312-523-6896
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-13
Last Update Date:2025-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK106767163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse