Individual provider Active NPI

Danielle Leigh Cunningham, FNP-C

  • Family Nurse Practitioner
  • Hampton, VA
National Provider Identifier
1376095489
Registry record updated Mar 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024174152 Issued in VA
Practice address
49 W Mercury Blvd
Hampton, VA 23669-2508
Phone
(757) 269-9980
NPI assigned
Oct 25, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024174152 VA Primary

Addresses

Primary practice location

49 W Mercury Blvd
Hampton, VA 23669-2508

Mailing address

1395 NW 167TH St
Miami Gardens, FL 33169-5710
Phone (305) 628-6117

Other practice location 1

549 E Brambleton Ave
Norfolk, VA 23510-2905
Phone (757) 533-9441

Other practice location 2

549 E Brambleton Ave
Norfolk, VA 23510-2905
Phone (757) 533-9441

Other practice location 3

4106 Portsmouth Blvd
Portsmouth, VA 23701
Phone (757) 393-1136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20170202001332 VA Practitioner - Nurse Practitioner 2365725140 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
PMR Virginia Holding, LLC CurrentSince Apr 1, 2021 Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

524 Southpark Blvd
Colonial Hgts, VA 23834
Phone (804) 504-7980

49 W Mercury Blvd
Hampton, VA 23669
Phone (757) 269-9980

48 Newmarket Sq
Newport News, VA 23605
Phone (757) 825-8030

549 E Brambleton Ave
Norfolk, VA 23510
Phone (757) 393-1136

4106 Portsmouth Blvd
Portsmouth, VA 23701
Phone (757) 391-2850

6550 Hull St Rd
Richmond, VA 23224
Phone (804) 674-3425

3806 Mechanicsville Tpke
Richmond, VA 23223
Phone (804) 228-1143

1712 E Broad St
Richmond, VA 23223
Phone (804) 344-9848

5516 Virginia Beach Blvd
Virginia Beach, VA 23462
Phone (757) 287-3699

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": "1477353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585094400000",
    "number": "1376095489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1395 NW 167TH ST",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331695710",
            "telephone_number": "305-628-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 W MERCURY BLVD",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236692508",
            "telephone_number": "757-269-9980"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "549 E Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102905",
            "country_code": "US",
            "telephone_number": "757-533-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "549 E Brambleton Ave",
            "address_purpose": "LOCATION",
            "city": "Norfolk",
            "state": "VA",
            "postal_code": "235102905",
            "country_code": "US",
            "telephone_number": "757-533-9441",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4106 Portsmouth Blvd",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "VA",
            "postal_code": "23701",
            "country_code": "US",
            "telephone_number": "757-393-1136",
            "fax_number": "757-698-2499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "DANIELLE",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-25",
        "last_updated": "2020-03-25",
        "certification_date": "2020-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024174152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.