Provider Demographics
NPI:1194688374
Name:DE CUNHA, SARA BETH (CMP)
Entity type:Individual
Prefix:
First Name:SARA
Middle Name:BETH
Last Name:DE CUNHA
Suffix:
Gender:F
Credentials:CMP
Other - Prefix:
Other - First Name:SARABETH
Other - Middle Name:
Other - Last Name:DE CUNHA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:CPM
Mailing Address - Street 1:4950 BLUE RIDGE BLVD
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64133-2551
Mailing Address - Country:US
Mailing Address - Phone:406-890-9359
Mailing Address - Fax:
Practice Address - Street 1:13009 WHITE AVE
Practice Address - Street 2:
Practice Address - City:GRANDVIEW
Practice Address - State:MO
Practice Address - Zip Code:64030-2668
Practice Address - Country:US
Practice Address - Phone:816-366-8286
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-12-04
Last Update Date:2025-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO25110895176B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife