Individual provider Active NPI

Tara B Cunningham, APRN

  • Nurse Practitioner
  • Lawrence, KS
National Provider Identifier
1114683810
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
53-80585 Issued in KS
Practice address
6265 Rock Chalk Dr Ste 1500
Lawrence, KS 66049-5232
Phone
(785) 843-9125
Fax
(785) 505-5312
NPI assigned
Nov 17, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 53-80585 KS Primary

Addresses

Primary practice location

6265 Rock Chalk Dr Ste 1500
Lawrence, KS 66049-5232

Mailing address

1808 Carmel Dr
Lawrence, KS 66047-1852
Phone (207) 350-2626

Other practice location 1

1500 SW 10th Ave
Topeka, KS 66604-1301
Phone (785) 354-6000

Other practice location 2

823 SW Mulvane St
Topeka, KS 66606-1764
Phone (785) 354-9591

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://mywoundcareplus.com/ Direct
Direct Messaging Address tara.cunningham@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211230001949 KS Practitioner - Nurse Practitioner 6507257524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

6265 Rock Chalk Dr
Suite 1500
Lawrence, KS 66049-5232
Phone (785) 843-9125

Hospital & facility affiliations

  • LMH Hospital, Lawrence, KS, CCN 170137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
53-80585KSMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Nov 17, 2022 Accepting new patients
Cotton-O'Neil Clinic Revocable Trust CurrentSince Nov 17, 2022 Accepting new patients
Lawrence Physicians LLC CurrentSince Nov 22, 2024 Accepting new patients
Lawrence Physicians LLC CurrentSince Nov 22, 2024 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
The Internal Medicine Group PA Past Accepting new patients

Locations

6265 Rock Chalk Dr
Unit 1500
Lawrence, KS 66049
Phone (785) 505-5815

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

2515 SW Wanamaker Rd
Topeka, KS 66614
Phone (785) 271-6808

1500 SW 10th Ave
Topeka, KS 66604
Phone (785) 354-5242

901 SW Garfield Ave
Topeka, KS 66606

823 SW Mulvane St
Topeka, KS 66606

Interoperability endpoints

  • Direct secure messaging: tcunningham120652@stormontvaildirect.org
  • Direct secure messaging: tara.cunningham@direct.lmh.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1114683810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1808 CARMEL DR",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660471852",
            "telephone_number": "207-350-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6265 ROCK CHALK DR STE 1500",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660495232",
            "telephone_number": "785-843-9125",
            "fax_number": "785-505-5312"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 SW 10th Ave",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666041301",
            "country_code": "US",
            "telephone_number": "785-354-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "823 SW Mulvane St",
            "address_purpose": "LOCATION",
            "city": "Topeka",
            "state": "KS",
            "postal_code": "666061764",
            "country_code": "US",
            "telephone_number": "785-354-9591",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "TARA",
        "middle_name": "B",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-17",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-80585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://mywoundcareplus.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1100 NW South Outer Rd Ste 200",
            "city": "Blue Springs",
            "state": "MO",
            "country_code": "US",
            "postal_code": "640153069",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tara.cunningham@direct.lmh.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6265 Rock Chalk Dr Ste 1500",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660495232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.