Ka'Leria Cunningham

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

125333 Issued in AR

Practice address

442 Carroll Ave
Wake Village, TX 75501-5733

Phone

(870) 397-2808

NPI assigned

Oct 27, 2020

Last updated

Oct 27, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1603756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603756800000",
    "number": "1285234500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "442 CARROLL AVE",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "442 CARROLL AVE",
            "city": "WAKE VILLAGE",
            "state": "TX",
            "postal_code": "755015733",
            "telephone_number": "870-397-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KA'LERIA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-27",
        "last_updated": "2020-10-27",
        "certification_date": "2020-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "AR",
            "license": "125333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bryan D Bowen, MD
• Cecilia Cade
• Ansuk Cho
• Collom & Carney Clinic
• Collom & Carney Clinic Association
• Aly Dixon
• Michael Chad Elliott, PA-C
• Global Home Security
• Healthcare Express, LLP
• Joshua Hefley, PHARMD.

• Licensed Practical Nurse in Wake Village, TX
• Providers in Wake Village, TX by specialty
• Licensed Practical Nurse in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.