Individual provider Active NPI

Lauren Cunningham, FNP

  • Family Nurse Practitioner
  • Mooresville, NC
National Provider Identifier
1194342352
Registry record updated Jul 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013272 Issued in NC
Practice address
930 W Wilson Ave
Mooresville, NC 28117-8811
Phone
(704) 663-7500
NPI assigned
Jul 2, 2020
Last updated
Jul 2, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013272 NC Primary

Addresses

Primary practice location

930 W Wilson Ave
Mooresville, NC 28117-8811

Mailing address

1190 Corriher Gravel Rd
China Grove, NC 28023-8404

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20220901000860 NC Practitioner - Nurse Practitioner 4486074671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Indycare Medical North CarolinaGroup PAC ID 1658616362, 7 clinicians

Practice addresses (Care Compare)

1706 S Cannon Blvd
Suite 101
Kannapolis, NC 28083-6104
Phone (704) 933-2273

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5013272NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Health Care PA CurrentSince Jul 5, 2020 Accepting new patients
Indycare Medical North Carolina CurrentSince Jun 1, 2022 Accepting new patients

Locations

110 Boone Square St
Ste 29A
Hillsborough, NC 27278
Phone (919) 245-1213

1706 S Cannon Blvd
Ste 100
Kannapolis, NC 28083

1706 S Cannon Blvd
Ste 101
Kannapolis, NC 28083
Phone (703) 933-2273

930 W Wilson Ave
Mooresville, NC 28117
Phone (704) 402-3941

Interoperability endpoints

  • Direct secure messaging: lauren.cunningham.1@18181.direct.athenahealth.com

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1593648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593648000000",
    "number": "1194342352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 CORRIHER GRAVEL RD",
            "city": "CHINA GROVE",
            "state": "NC",
            "postal_code": "280238404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 W WILSON AVE",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281178811",
            "telephone_number": "704-663-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LAUREN",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-02",
        "last_updated": "2020-07-02",
        "certification_date": "2020-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013272",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mooresville, NC

Sources for this page

Verify at the official NPI Registry.