Individual provider Active NPI

Kamy Jo Cunningham, NP-C

  • Family Nurse Practitioner
  • Oro Valley, AZ
National Provider Identifier
1669716494
Registry record updated Nov 16, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
TAP4746 Issued in AZ
Practice address
12032 N Copper Spring TRL
Oro Valley, AZ 85755-6541
Phone
(520) 297-8505
NPI assigned
Nov 16, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 16, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X TAP4746 AZ Primary

Addresses

Primary practice location

12032 N Copper Spring TRL
Oro Valley, AZ 85755-6541

Mailing address

12032 N Copper Spring TRL
Oro Valley, AZ 85755-6541
Phone (520) 297-8505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20140219001391 AZ Practitioner - Nurse Practitioner 9032348925 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
TAP4746AZMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Jul 1, 2024 Accepting new patients
Marana Health Center, Inc Past Accepting new patients

Locations

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

Interoperability endpoints

  • Direct secure messaging: kamy.cunningham.p4@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: kamy.cunningham.1@32527.direct.athenahealth.com

Organizations & group practices 3

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": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353024000000",
    "number": "1669716494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12032 N COPPER SPRING TRL",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556541",
            "telephone_number": "520-297-8505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12032 N COPPER SPRING TRL",
            "city": "ORO VALLEY",
            "state": "AZ",
            "postal_code": "857556541",
            "telephone_number": "520-297-8505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "KAMY",
        "middle_name": "JO",
        "credential": "NP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-11-16",
        "last_updated": "2012-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "TAP4746",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oro Valley, AZ

Sources for this page

Verify at the official NPI Registry.