Active NPI
Julie Ann Cunningham, ARNP
- Family Nurse Practitioner
- Tacoma, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60821011
- Practice address
- 1901 S Cedar St Ste 108
Tacoma, WA 98405-2302 - Phone
- (253) 212-0078
- Fax
- (253) 212-3877
- NPI assigned
- Jul 29, 2016
- Reactivated
- Jan 31, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AP60821011 | WA | Primary |
Addresses
Primary practice location
1901 S Cedar St Ste 108
Tacoma, WA 98405-2302
Mailing address
10811 222ND Avenue CT E
Buckley, WA 98321-9486
Phone (253) 307-9874
Other practice location 1
10811 222nd Avenue Ct E
Buckley, WA 98321-9486
Phone (253) 307-9874
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
1430 3Rd St SE
Puyallup, WA 98372-3703
Phone (253) 799-8956
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cunningham Family Clinic PLLC | Current | Accepting new patients |
Locations
1430 3rd St SE
Puyallup, WA 98372
Phone (253) 435-4100
Interoperability endpoints
- julie.cunningham.1@10025.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Puyallup, WA
- NPI 1427909639
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1124291117
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1952309098
-
- General Acute Care Hospital
- Tacoma, WA
- NPI 1366556227
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469750400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557532800000",
"number": "1053864652",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10811 222ND AVENUE CT E",
"city": "BUCKLEY",
"state": "WA",
"postal_code": "983219486",
"telephone_number": "253-307-9874"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 S CEDAR ST STE 108",
"city": "TACOMA",
"state": "WA",
"postal_code": "984052302",
"telephone_number": "253-212-0078",
"fax_number": "253-212-3877"
}
],
"practiceLocations": [
{
"address_1": "10811 222nd Avenue Ct E",
"address_purpose": "LOCATION",
"city": "Buckley",
"state": "WA",
"postal_code": "983219486",
"country_code": "US",
"telephone_number": "253-307-9874",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JULIE",
"middle_name": "ANN",
"credential": "ARNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-29",
"last_updated": "2019-05-11",
"deactivation_date": "2018-01-08",
"reactivation_date": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60821011",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.