Elizabeth A. Cunningham, CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

11133-NP Issued in OH

Practice address

3300 Riverside Drive, Suite 200
Upper Arlington, OH 43221-1738

Phone

(614) 459-4200

Fax

(614) 459-1589

NPI assigned

Aug 12, 2010

Last updated

Mar 19, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Elizabeth A. Tadijanac Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Pediatric Nurse Practitioner, Master of Science

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: elizabeth.cunningham.1@26020.direct.athenahealth.com

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.

• Oh Independent Medical Group LLC

  • Family Medicine Physician
  • Columbus, OH
  • NPI 1497482111
  NPD (past)

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584576000000",
    "number": "1316252547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3300 RIVERSIDE DRIVE, SUITE 200",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211738",
            "telephone_number": "614-459-4200",
            "fax_number": "614-459-1589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 RIVERSIDE DRIVE, SUITE 200",
            "city": "UPPER ARLINGTON",
            "state": "OH",
            "postal_code": "432211738",
            "telephone_number": "614-459-4200",
            "fax_number": "614-459-1589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ELIZABETH",
        "middle_name": "A.",
        "name_prefix": "Mrs.",
        "credential": "CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-12",
        "last_updated": "2020-03-19",
        "certification_date": "2020-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "COA.11133-NP",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "OH",
            "license": "11133-NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "TADIJANAC",
            "middle_name": "A.",
            "credential": "CPNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Anne Comarda, LISW
• Tiffany Combs
• Caitlin Harty Cooper, DPT
• Angela Walker Crawford, APRN-CNP
• Danielle Marie Crawford, LISW-S
• Sarah Dawn D'Andrea, P.A.C.
• Madison Dackin, PA-C
• Amber L Daniel
• Michael Darnell
• Zoe Davis, APRN-CNP, CPNP-PC

• Pediatric Nurse Practitioner in Upper Arlington, OH
• Providers in Upper Arlington, OH by specialty
• Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.