Active NPI
Lauren Cunningham
- Family Medicine Physician
- Memphis, TN
National Provider Identifier
1255797627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 189403
- Practice address
- 3109 Walnut Grove Rd
Memphis, TN 38111-3509 - Phone
- (901) 458-0162
- Fax
- (901) 458-0388
- NPI assigned
- Jan 14, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 189403 | TN | Primary |
Addresses
Primary practice location
3109 Walnut Grove Rd
Memphis, TN 38111-3509
Mailing address
3109 Walnut Grove Rd
Memphis, TN 38111-3509
Phone (901) 458-0162
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 189403 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1452729600000",
"number": "1255797627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3109 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381113509",
"telephone_number": "901-458-0162",
"fax_number": "901-458-0388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3109 WALNUT GROVE RD",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381113509",
"telephone_number": "901-458-0162",
"fax_number": "901-458-0388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "LAUREN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-14",
"last_updated": "2016-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "189403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.