Active NPI
Brian R Cunningham, PMHNP-BC
- Psychiatric/Mental Health Nurse Practitioner
- South Ogden, UT
National Provider Identifier
1366799934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- AP60301512
- Practice address
- 982 Chambers St
South Ogden, UT 84403-4571 - Phone
- (801) 582-1565
- NPI assigned
- Aug 13, 2012
- Last updated
- Jun 13, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | AP60301512 | WA | Primary |
Addresses
Primary practice location
982 Chambers St
South Ogden, UT 84403-4571
Mailing address
982 Chambers St
South Ogden, UT 84403-4571
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1344816000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371081600000",
"number": "1366799934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "982 CHAMBERS ST",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "982 CHAMBERS ST",
"city": "SOUTH OGDEN",
"state": "UT",
"postal_code": "844034571",
"telephone_number": "801-582-1565"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "BRIAN",
"middle_name": "R",
"name_prefix": "Mr.",
"credential": "PMHNP-BC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-08-13",
"last_updated": "2013-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "WA",
"license": "AP60301512",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Ogden, UT
- Costco Wholesale Corporation (Costco Hearing Aid #770)
- Costco Wholesale Corporation
- Country Hills Eye Center (True Vision Physicians and Surgeons)
- Mark V Cowley, DDS
- Abigail Crowther, RBT
- Lindsay Shepard Curtis, DDS
- Gaurav Dagar, M.D.
- Clifford Donald Daines, D D S
- Daniel J. Hansen, D.O., PLLC (Northern Utah Dermatology)
- Benjamin T Dastrup, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.