Carla Mae Cunningham, LMP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

MA00010645 Issued in WA

Practice address

18404 121St St E
Bonney Lake, WA 98391-8109

Phone

(253) 365-2116

Fax

(253) 862-0661

NPI assigned

Apr 13, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1176422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487808000000",
    "number": "1457575987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18404 121ST ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918109",
            "telephone_number": "253-365-2116",
            "fax_number": "253-862-0661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18404 121ST ST E",
            "city": "BONNEY LAKE",
            "state": "WA",
            "postal_code": "983918109",
            "telephone_number": "253-365-2116",
            "fax_number": "253-862-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CARLA",
        "middle_name": "MAE",
        "credential": "LMP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-13",
        "last_updated": "2017-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00010645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I PROVIDER",
            "identifier": "0203937",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Misty Marie Crick-Goodman, LE
• Sonya Crouch, PHARMD
• Rachael C Crowder, COTA
• Bruce Gerald Cudahy, O.D.
• Sean Cudahy, O.D.
• Jonathan David Cyphers, PA
• Dale L. Vanderschelden DDS PS
• Alexandra Hurtado Dammen, PA-C
• Ivy Dang, PHARMD
• Dani Danley, CPC1178, LH61165683

• Massage Therapist in Bonney Lake, WA
• Providers in Bonney Lake, WA by specialty
• Massage Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2017; 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.