Individual provider Active NPI

Danielle Christin Cunningham, CPNP-PC

  • Pediatric Nurse Practitioner
  • Geneva, NY
National Provider Identifier
1194405134
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
383545 Issued in NY
Practice address
200 North St Ste 101
Geneva, NY 14456-1561
Phone
(315) 787-5200
NPI assigned
Jul 24, 2023
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Nurse Practitioner 363LP0200X 383545 NY Primary

Addresses

Primary practice location

200 North St Ste 101
Geneva, NY 14456-1561

Mailing address

100 Kings Hwy S
Rochester, NY 14617-5504

Other names 1

  • Danielle Christin Carnifax Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20231127001621 NY Practitioner - Nurse Practitioner 2264880616 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
383545NYMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Western New York Medical Practice P.C. CurrentSince Sep 25, 2023 Accepting new patients
Rochester General Hospital CurrentSince Oct 23, 2023 Accepting new patients
Western New York Medical Practice, P.C. CurrentSince Sep 25, 2023 Accepting new patients
Newark Wayne Community Hospital CurrentSince Oct 23, 2023 Accepting new patients
Rochester General Hospital Current Accepting new patients
Newark Wayne Community Hospital Current Accepting new patients

Locations

200 North St
Geneva, NY 14456
Phone (315) 787-5100

200 North St
Ste 101
Geneva, NY 14456
Phone (315) 787-5100

1200 Driving Park Ave
Newark, NY 14513
Phone (315) 332-2170

207 Lake St
Penn Yan, NY 14527
Phone (315) 536-3362

207 Lake St
#1-2
Penn Yan, NY 14527
Phone (315) 536-3362

100 Kings Hwy S
Rochester, NY 14617
Phone (585) 922-0553

1425 Portland Ave
Rochester, NY 14621
Phone (585) 922-3122

Interoperability endpoints

  • Direct secure messaging: dcarnifax110776@direct.urmc.rochester.edu

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1194405134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KINGS HWY S",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146175504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 NORTH ST STE 101",
            "city": "GENEVA",
            "state": "NY",
            "postal_code": "144561561",
            "telephone_number": "315-787-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DANIELLE",
        "middle_name": "CHRISTIN",
        "credential": "CPNP-PC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "383545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "CARNIFAX",
            "middle_name": "CHRISTIN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Geneva, NY

Sources for this page

Verify at the official NPI Registry.