Individual provider Active NPI

Laura Rene' Cunningham, DNP, FNP-BC

  • Family Nurse Practitioner
  • Peoria, AZ
National Provider Identifier
1558745331
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
285718 Issued in AZ
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

Updated by the provider on Aug 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
285718AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Express Clinic, LLC PastSince Jul 1, 2016 Accepting new patients
Heartfit for Duty LLC PastSince Feb 12, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: 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.

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.

Verify at the official NPI Registry.