Individual provider Active NPI

Alysha Cunningham

  • Psychiatric/Mental Health Nurse Practitioner
  • Chesapeake, VA
National Provider Identifier
1649008707
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0024190757 Issued in VA
Practice address
200 Carmichael Way Ste 604
Chesapeake, VA 23322-2489
Phone
(757) 908-2124
Fax
(757) 908-2320
NPI assigned
Jul 22, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0024190757 VA Primary

Addresses

Primary practice location

200 Carmichael Way Ste 604
Chesapeake, VA 23322-2489

Mailing address

200 Carmichael Way Ste 604
Chesapeake, VA 23322-2489

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20250527002214 VA Practitioner - Nurse Practitioner 4981123601 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transforming Minds Interventional PsychiatryGroup PAC ID 2961871967, 3 clinicians

Practice addresses (Care Compare)

200 Carmichael Way
Suite 604
Chesapeake, VA 23322-2489
Phone (757) 908-2124

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024190757VAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Transforming Minds Interventional Psychiatry Psychiatric/Mental Health CurrentSince May 1, 2025 Accepting new patients
South Chesapeake Psychiatry Psychiatric/Mental Health CurrentSince Jul 28, 2024 Accepting new patients

Locations

200 Carmichael Way
Ste 604
Chesapeake, VA 23322
Phone (757) 908-2124

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": "1721606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1649008707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CARMICHAEL WAY STE 604",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 CARMICHAEL WAY STE 604",
            "city": "CHESAPEAKE",
            "state": "VA",
            "postal_code": "233222489",
            "telephone_number": "757-908-2124",
            "fax_number": "757-908-2320"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ALYSHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-22",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "VA",
            "license": "0024190757",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chesapeake, VA

Sources for this page

Verify at the official NPI Registry.