Individual provider Active NPI

Laura L Cunningham, PA

  • Physician Assistant
  • West Des Moines, IA
National Provider Identifier
1326424904
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
079034 Issued in IA
Practice address
1441 29TH St Ste 211
West Des Moines, IA 50266-1309
Phone
(515) 227-6065
Fax
(833) 907-2405
NPI assigned
Aug 5, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 079034 IA Primary

Addresses

Primary practice location

1441 29TH St Ste 211
West Des Moines, IA 50266-1309

Mailing address

2900 Westown Pkwy Ste 130
West Des Moines, IA 50266-1315
Phone (515) 227-6065

Other practice location 1

4020 Merle Hay Rd Ste 100
Des Moines, IA 50310-1357
Phone (515) 278-0949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20150825004412 IA Practitioner - Physician Assistant 0547576308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Focused Life Health Care PCGroup PAC ID 1355733734, 5 clinicians

Practice addresses (Care Compare)

2900 Westown Pkwy
Suite 130
West Des Moines, IA 50266-1315
Phone (515) 227-6065

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Dec 27, 2016 Accepting new patients
Iowa Physicians Clinic Medical Foundation Physician Assistant CurrentSince Dec 27, 2016 Accepting new patients
Courageous Minds Counseling PastSince Jan 31, 2021 Accepting new patients
MJC Therapeutic Counseling Services LLC PastSince Jan 31, 2021 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4020 Merle Hay Rd
Ste 100
Des Moines, IA 50310
Phone (515) 278-0949

Interoperability endpoints

  • Direct secure messaging: laura.cunningham.1@23533.direct.athenahealth.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1438732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1326424904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 WESTOWN PKWY STE 130",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661315",
            "telephone_number": "515-227-6065",
            "fax_number": "833-907-2405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 29TH ST STE 211",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661309",
            "telephone_number": "515-227-6065",
            "fax_number": "833-907-2405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4020 Merle Hay Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503101357",
            "country_code": "US",
            "telephone_number": "515-278-0949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LAURA",
        "middle_name": "L",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-05",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "079034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.