Active NPI
Cynthia Cunningham
- Enterostomal Therapy Registered Nurse
- Birmingham, AL
National Provider Identifier
1285057349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Enterostomal Therapy Registered Nurse
- License
- 1-080255
- Practice address
- 87 Moonglow Dr
Birmingham, AL 35215-7007 - Phone
- (205) 613-0472
- NPI assigned
- Jan 27, 2014
- 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 |
|---|---|---|---|---|
| Enterostomal Therapy Registered Nurse | 163WE0900X | 1-080255 | AL | Primary |
Addresses
Primary practice location
87 Moonglow Dr
Birmingham, AL 35215-7007
Mailing address
87 Moonglow Dr
Birmingham, AL 35215-7007
Phone (205) 613-0472
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 |
|---|---|---|---|
| 1-080255 | AL | MD | Enterostomal Therapy Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1390780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1390780800000",
"number": "1285057349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "87 MOONGLOW DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352157007",
"telephone_number": "205-613-0472"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "87 MOONGLOW DR",
"city": "BIRMINGHAM",
"state": "AL",
"postal_code": "352157007",
"telephone_number": "205-613-0472"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "CYNTHIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-01-27",
"last_updated": "2014-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "163WE0900X",
"taxonomy_group": "",
"desc": "Registered Nurse, Enterostomal Therapy",
"state": "AL",
"license": "1-080255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Birmingham, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.