Active NPI
Aimee Cunningham
- Registered Dietitian
- Saint Louis, MO
National Provider Identifier
1346729472
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86082753
- Practice address
- 2727 Washington Ave
Saint Louis, MO 63103-1421 - Phone
- (314) 652-4100
- NPI assigned
- Aug 9, 2018
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86082753 | MO | Primary |
Addresses
Primary practice location
2727 Washington Ave
Saint Louis, MO 63103-1421
Mailing address
352 Tulip Dr
Saint Louis, MO 63119-4561
Phone (314) 740-5603
Other practice location 1
915 N Grand Blvd
Saint Louis, MO 63106-1621
Phone (314) 652-4100 ext. 57659
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 86082753 | MO | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533772800000",
"number": "1346729472",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 TULIP DR",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631194561",
"telephone_number": "314-740-5603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2727 WASHINGTON AVE",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631031421",
"telephone_number": "314-652-4100"
}
],
"practiceLocations": [
{
"address_1": "915 N Grand Blvd",
"address_purpose": "LOCATION",
"city": "Saint Louis",
"state": "MO",
"postal_code": "631061621",
"country_code": "US",
"telephone_number": "314-652-4100 x57659",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "AIMEE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-08-09",
"last_updated": "2018-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "MO",
"license": "86082753",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.