Grace Cunningham

Primary specialty

Social WorkerTaxonomy code 104100000X

License

LSW0009923531 Issued in CO

Practice address

15 Bachelor Gulch Road
Avon, CO 81620

Phone

(516) 477-6569

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 19, 2021.

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1174299143",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 BACHELOR GULCH ROAD",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "516-477-6569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 BACHELOR GULCH ROAD",
            "city": "AVON",
            "state": "CO",
            "postal_code": "81620",
            "telephone_number": "516-477-6569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CO",
            "license": "LSW0009923531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Comfort of Your Home Psychiatry
• Mindy A Cooper, MD
• Allisa Rae Corsbie, NP-C
• Thomas Crisofulli, CHHIROPRACTOR
• Lindsey Morgan Cundy, FNP
• Carl F Dando, MD,RVT,RPVI, RPHS
• Marshall Davis, MD
• Dawn Nelson LLC
• Derma Taut International PC
• Dillon Companies LLC

• All providers in Avon, CO
• Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.