Active NPI
Laura Rene' Cunningham, DNP, FNP-BC
- Family Nurse Practitioner
- Peoria, AZ
National Provider Identifier
1558745331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 285718
- Practice address
- 8877 W Union Hills Dr Ste a-160
Peoria, AZ 85382-3008 - Phone
- (480) 999-7911
- Fax
- (480) 499-5829
- NPI assigned
- Jul 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 111848 | NE | |
| Family Nurse Practitioner | 363LF0000X | 285718 | AZ | Primary |
Addresses
Primary practice location
8877 W Union Hills Dr Ste a-160
Peoria, AZ 85382-3008
Mailing address
1901 E University Dr Ste 200
Mesa, AZ 85203-8308
Phone (480) 999-7911
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 285718 | AZ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Express Clinic, LLC | Past | Accepting new patients | |
| Heartfit for Duty LLC | Past | Accepting new patients |
Interoperability endpoints
- laura.cunningham.1@5834.direct.athenahealth.com
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Gilbert, AZ
- NPI 1295009561
-
- Clinic/Center
- Lincoln, NE
- NPI 1831252121
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1558745331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 E UNIVERSITY DR STE 200",
"city": "MESA",
"state": "AZ",
"postal_code": "852038308",
"telephone_number": "480-999-7911"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8877 W UNION HILLS DR STE A-160",
"city": "PEORIA",
"state": "AZ",
"postal_code": "853823008",
"telephone_number": "480-999-7911",
"fax_number": "480-499-5829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "LAURA",
"middle_name": "RENE'",
"credential": "DNP, FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-07-12",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NE",
"license": "111848",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AZ",
"license": "285718",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Peoria, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.