NPIMap

Individual provider Active NPI

Jacqueline J Cunning, PA C

  • Adult Health Clinical Nurse Specialist
  • Doylestown, PA
National Provider Identifier
1336192004
Registry record updated Jan 18, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Clinical Nurse SpecialistTaxonomy code 364SA2200X
License
MA050801 Issued in PA
Practice address
310 Farm Lane
Doylestown, PA 18904-4732
Phone
(215) 348-3990
Fax
(215) 348-7705
NPI assigned
May 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Clinical Nurse Specialist 364SA2200X MA050801 PA Primary

Addresses

Primary practice location

310 Farm Lane
Doylestown, PA 18904-4732

Mailing address

310 Farm LN
Doylestown, PA 18901-4732
Phone (215) 348-3990

Other identifiers 18

IdentifierTypeStateIssuer
0001435061OtherPERSCHOICE PERSCHOICE 65
21198960001OtherKEYSTONE HEALTH PLAN EAST
21198960001OtherKEYSTON HLT PLAN EAST 65
4708888939OtherFIRST HEALTH CCN
PC0140OtherHEALTH NET
0001435061OtherPENNSULVANIA BLUE SHIELD
598899143OtherMULTI PLAN
P543147OtherOXFORD
2119896001OtherAMERIHEALTH ADMINISTRATOR
470888939OtherINTERCOUNTY
CK4397OtherMEDICARE RAILROAD
007302OtherAETNA HMO
007302OtherAETNA PPO MANAGED CARE
P00044991OtherPARAILROAD MEDICARE
1058232OtherKEYSTONE MERCY HEALTH PLA
2119896001OtherAMERIHEALTH HMO
278862OtherMAMSI
4708888939OtherDEVON

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)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Doylestown Internal Medicine Associates PC Past Accepting new patients

Organizations & group practices 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263772800000",
    "number": "1336192004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 FARM LN",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189014732",
            "telephone_number": "215-348-3990",
            "fax_number": "215-348-7705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 FARM LANE",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189044732",
            "telephone_number": "215-348-3990",
            "fax_number": "215-348-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNING",
        "first_name": "JACQUELINE",
        "middle_name": "J",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2010-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "364SA2200X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Adult Health",
            "state": "PA",
            "license": "MA050801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSCHOICE PERSCHOICE 65",
            "identifier": "0001435061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE HEALTH PLAN EAST",
            "identifier": "21198960001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTON HLT PLAN EAST 65",
            "identifier": "21198960001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH CCN",
            "identifier": "4708888939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "PC0140",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENNSULVANIA BLUE SHIELD",
            "identifier": "0001435061",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MULTI PLAN",
            "identifier": "598899143",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P543147",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH ADMINISTRATOR",
            "identifier": "2119896001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INTERCOUNTY",
            "identifier": "470888939",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "CK4397",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "007302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PPO MANAGED CARE",
            "identifier": "007302",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00044991",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYSTONE MERCY HEALTH PLA",
            "identifier": "1058232",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIHEALTH HMO",
            "identifier": "2119896001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "278862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEVON",
            "identifier": "4708888939",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2010; 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.