Individual provider Active NPI

Lisa Marie Cunningham, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1265491898
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP3198042 Issued in FL
Practice address
1200 Edgewater Dr
Orlando, FL 32804-6314
Phone
(407) 244-8559
Fax
(407) 218-4563
NPI assigned
Mar 22, 2006
Last updated
Jun 14, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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 ARNP3198042 FL Primary

Addresses

Primary practice location

1200 Edgewater Dr
Orlando, FL 32804-6314

Mailing address

1200 Edgewater Dr
Orlando, FL 32804-6314
Phone (407) 244-8559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20070710000831 FL Practitioner - Nurse Practitioner 7911007695 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ARNP3198042FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients
Rmed LLC CurrentSince Apr 30, 2018 Accepting new patients
Vascular Center of Orlando, P.a. CurrentSince Dec 24, 2011 Accepting new patients
Rmed LLC CurrentSince Apr 30, 2018 Accepting new patients
Orlando Physicians Network Inc CurrentSince Jan 30, 2022 Accepting new patients
Medi Winter Park LLC Past Accepting new patients
VVC Viera LLC Past Accepting new patients

Locations

100 N Dean Rd
Ste 201
Orlando, FL 32825
Phone (407) 244-8559

1200 Edgewater Dr
Orlando, FL 32804
Phone (407) 244-8559

21 Columbia St
Orlando, FL 32806
Phone (321) 841-5560

6525 3rd St
Ste 208
Rockledge, FL 32955
Phone (407) 244-8559

8600 Hidden River Pkwy
Ste 75
Tampa, FL 33637
Phone (813) 517-0137

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: lcunningham328747@orlandohealth.medalliesdirect.net
  • Direct secure messaging: lisacunningham@vvc.allscriptsdirect.net

Organizations & group practices 7

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1265491898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-218-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-218-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LISA",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-22",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP3198042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.