Active NPI
Tiffany Elaine Cunningham, RDMS
- Diagnostic Ultrasound Physician
- Bangor, ME
National Provider Identifier
1194237701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- License
- 157553
- Practice address
- 489 State St
Bangor, ME 04401-6616 - Phone
- (207) 973-7471
- NPI assigned
- Nov 5, 2017
- 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 |
|---|---|---|---|---|
| Diagnostic Ultrasound Physician | 2085U0001X | 157553 | ME | Primary |
Addresses
Primary practice location
489 State St
Bangor, ME 04401-6616
Mailing address
15 Winchester St Apt 2
Fairfield, ME 04937-1314
Phone (207) 592-1838
Other practice location 1
35 Medical Center Pkwy
Augusta, ME 04330-8160
Phone (207) 624-4356
Other practice location 2
149 North St
Waterville, ME 04901-4974
Phone (207) 872-1119
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 157553 | ME | MD | Diagnostic Ultrasound Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1194237701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 WINCHESTER ST APT 2",
"city": "FAIRFIELD",
"state": "ME",
"postal_code": "049371314",
"telephone_number": "207-592-1838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "489 STATE ST",
"city": "BANGOR",
"state": "ME",
"postal_code": "044016616",
"telephone_number": "207-973-7471"
}
],
"practiceLocations": [
{
"address_1": "35 Medical Center Pkwy",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "ME",
"postal_code": "043308160",
"country_code": "US",
"telephone_number": "207-624-4356",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "149 North St",
"address_purpose": "LOCATION",
"city": "Waterville",
"state": "ME",
"postal_code": "049014974",
"country_code": "US",
"telephone_number": "207-872-1119",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "TIFFANY",
"middle_name": "ELAINE",
"name_prefix": "Ms.",
"credential": "RDMS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-05",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "ME",
"license": "157553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bangor, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.