Active NPI
Shanteya Cunningham
- Health Service Clinic/Center
- Cincinnati, OH
National Provider Identifier
1295220424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Service Clinic/Center
- Practice address
- 3481 Robb Ave
Cincinnati, OH 45211-5340 - Phone
- (513) 709-2191
- NPI assigned
- Jun 29, 2018
- 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 |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | Primary |
Addresses
Primary practice location
3481 Robb Ave
Cincinnati, OH 45211-5340
Mailing address
3481 Robb Ave
Cincinnati, OH 45211-5340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102358072-00 | Other | CARE SOURCE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530230400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1295220424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3481 ROBB AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452115340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3481 ROBB AVE",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452115340",
"telephone_number": "513-709-2191"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "SHANTEYA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-29",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "261QH0100X",
"taxonomy_group": "",
"desc": "Clinic/Center, Health Service",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARE SOURCE",
"identifier": "102358072-00",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.