Waneta K Cunningham, PRSS

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

24-9119 Issued in WV

Practice address

106 Thorn St
Princeton, WV 24740-3560

Phone

(304) 314-7501

NPI assigned

Feb 27, 2025

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.71392

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.

• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1003453317
  NPD (past)
• Bluestone Health Association, Inc.

  • Federally Qualified Health Center (FQHC)
  • Princeton, WV
  • NPI 1346266848
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1740614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1104623172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1420 EVERETTE BAILEY RD",
            "city": "MATOAKA",
            "state": "WV",
            "postal_code": "247367210",
            "telephone_number": "681-489-5229"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 THORN ST",
            "city": "PRINCETON",
            "state": "WV",
            "postal_code": "247403560",
            "telephone_number": "304-314-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "WANETA",
        "middle_name": "K",
        "credential": "PRSS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-27",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "WV",
            "license": "24-9119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephen Gray Crowe, RPH
• Ashley Croy
• Tristen Croy
• Patricia A Culler
• Lisa Cunningham
• Xenia Alish Cunningham
• Mary Sue Curry, APRN
• Michael Stuart Curry, M.DIV. PHD
• Tracy Cutlip
• Bryan Michael Dahlen

• Peer Specialist in Princeton, WV
• Providers in Princeton, WV by specialty
• Peer Specialist in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.