Individual provider Active NPI

Jonathan Emmanuel Cunningham, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Twinsburg, OH
National Provider Identifier
1437812658
Registry record updated Dec 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
2021032967 Issued in OH
Practice address
3140 Darien LN
Twinsburg, OH 44087-3234
Phone
(216) 262-6688
NPI assigned
Oct 14, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 2021032967 OH Primary

Addresses

Primary practice location

3140 Darien LN
Twinsburg, OH 44087-3234

Mailing address

3140 Darien LN
Twinsburg, OH 44087-3234

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20220419001438 OH Practitioner - Nurse Practitioner 3577950757 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2021032967OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
University Hospitals Cleveland Medical Center CurrentSince Nov 21, 2022 Accepting new patients
Uh Regional Hospitals CurrentSince Jan 15, 2022 Accepting new patients
Uh Regional Hospitals CurrentSince Jan 15, 2022 Accepting new patients
Premier Urgent Care, LLC CurrentSince Nov 9, 2022 Accepting new patients
University Hospitals Cleveland Medical Center CurrentSince Nov 21, 2022 Accepting new patients

Locations

3315 N Ridge Rd E
Ste 700A
Ashtabula, OH 44004
Phone (440) 484-2130

11100 Euclid Ave
Cleveland Heights, OH 44106

27900 Euclid Ave
Euclid, OH 44132
Phone (216) 331-3318

Interoperability endpoints

  • Direct secure messaging: jcunningham27683@ehrdirect.uhhospitals.org

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": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638921600000",
    "number": "1437812658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3140 DARIEN LN",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440873234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 DARIEN LN",
            "city": "TWINSBURG",
            "state": "OH",
            "postal_code": "440873234",
            "telephone_number": "216-262-6688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JONATHAN",
        "middle_name": "EMMANUEL",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-12-08",
        "certification_date": "2021-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "2021032967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Twinsburg, OH

Sources for this page

Verify at the official NPI Registry.