Individual provider Active NPI

Lindsey Anne Cunningham, MSN, APRN, FNP-C

  • Neurology Physician
  • Southlake, TX
National Provider Identifier
1538513973
Registry record updated Mar 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
AP130386 Issued in TX
Practice address
175 Stonebridge LN Ste 100
Southlake, TX 76092-0316
Phone
(817) 421-2905
NPI assigned
Apr 22, 2016
Last updated
Mar 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X AP130386 TX Primary

Addresses

Primary practice location

175 Stonebridge LN Ste 100
Southlake, TX 76092-0316

Mailing address

175 Stonebridge LN Ste 100
Southlake, TX 76092-0316
Phone (817) 421-2905

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20170424001123 TX Practitioner - Nurse Practitioner 4082902051 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP130386TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southlake Neurology and Neurology CurrentSince Jan 28, 2017 Accepting new patients

Locations

175 Stonebridge Ln
Ste 100
Southlake, TX 76092
Phone (817) 421-2905

321 W Southlake Blvd
Ste 180
Southlake, TX 76092
Phone (682) 271-0988

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1461283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616544000000",
    "number": "1538513973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 STONEBRIDGE LN STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920316",
            "telephone_number": "817-421-2905"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 STONEBRIDGE LN STE 100",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760920316",
            "telephone_number": "817-421-2905"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LINDSEY",
        "middle_name": "ANNE",
        "credential": "MSN, APRN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-22",
        "last_updated": "2021-03-24",
        "certification_date": "2021-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "AP130386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southlake, TX

Sources for this page

Verify at the official NPI Registry.