Carrie M Cunningham, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209.017707 Issued in IL

Practice address

2200 S Main St
Paris, IL 61944

Phone

(217) 463-4340

Fax

(217) 463-4342

NPI assigned

Feb 23, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: carrie.cunningham.1@11356.direct.athenahealth.com

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 & Medical Foundation of Paris, Inc.

  • Critical Access Hospital
  • Paris, IL
  • NPI 1679502322

  IL

  Medicare reassignment
• Hospital & Medical Foundation of Paris, Inc.

  • Rural Health Clinic/Center
  • Paris, IL
  • NPI 1548334956
  NPD
• Hospital & Medical Foundation of Paris, Inc.

  • Physical Therapist
  • Terre Haute, IN
  • NPI 1962378208
  NPD (past)

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

{
    "created_epoch": "1298419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532649600000",
    "number": "1194022368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "619442966",
            "telephone_number": "217-463-4340",
            "fax_number": "217-463-4342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 S MAIN ST",
            "city": "PARIS",
            "state": "IL",
            "postal_code": "61944",
            "telephone_number": "217-463-4340",
            "fax_number": "217-463-4342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CARRIE",
        "middle_name": "M",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-23",
        "last_updated": "2018-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28179464A",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209.017707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000740975",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201029170",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yaniv Cozacov, M.D.
• Casey Lynn Craig, LCSW
• Chandra Cravens, RN
• Michelle Creech
• Jennifer Crockett
• D.C.Lim.MD Inc.
• Jenna Daugherty, DPT
• Rebekah Erin Dickey
• Remielou Pineda Diwa, OTR/L
• Judah Steven Donaldson, FNP-C

• All providers in Paris, IL
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2018; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.