Active NPI
James Allen Cunningham, P.T.
- Marriage & Family Therapist
- Grass Valley, CA
National Provider Identifier
1609925072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- LMFT77997
- Practice address
- 518 S Auburn St
Grass Valley, CA 95945-7222 - Phone
- (530) 277-3936
- Fax
- (530) 277-3936
- NPI assigned
- Jan 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT11714 | CA | |
| Marriage & Family Therapist | 106H00000X | LMFT77997 | CA | Primary |
Addresses
Primary practice location
518 S Auburn St
Grass Valley, CA 95945-7222
Mailing address
518 S Auburn St
Grass Valley, CA 95945-7222
Phone (530) 277-3936
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT11714 | Other | CA | P.T. LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Feb 17, 2024 through Feb 17, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LMFT77997 | CA | MD | Marriage & Family Therapist |
| 77997 | CA | MD | Pharmacist |
| PT11714 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458777600000",
"number": "1609925072",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "518 S AUBURN ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959457222",
"telephone_number": "530-277-3936",
"fax_number": "530-277-3936"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "518 S AUBURN ST",
"city": "GRASS VALLEY",
"state": "CA",
"postal_code": "959457222",
"telephone_number": "530-277-3936",
"fax_number": "530-277-3936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "JAMES",
"middle_name": "ALLEN",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2016-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT11714",
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "LMFT77997",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "P.T. LICENSE",
"identifier": "PT11714",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Grass Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.