Marnie Cunningham, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA057506 Issued in PA

Practice address

428 S 7TH St
Lehighton, PA 18235-1818

Phone

(610) 900-4234

NPI assigned

Jun 5, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cleanslate Medical Group of Pennsylvania LLCGroup PAC ID 8426334400, 20 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Cleanslate Medical Group of Pennsylvania LLC

  • Multi-Specialty Clinic/Center
  • Wilkes Barre, PA
  • NPI 1184177263
  Medicare reassignment Care Compare group
• Valley Geropsych, LLC

  • Geriatric Psychiatry Physician
  • Lehighton, PA
  • NPI 1588900815
  Medicare reassignment
• Lehigh Gorge Inpatient Services, PLLC

  • Internal Medicine Physician
  • Lehighton, PA
  • NPI 1164857207
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1669852505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "93 FAWN ROAD",
            "city": "JIM THORPE",
            "state": "PA",
            "postal_code": "182291411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 S 7TH ST",
            "city": "LEHIGHTON",
            "state": "PA",
            "postal_code": "182351818",
            "telephone_number": "610-900-4234"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7096 Decatur St",
            "address_purpose": "LOCATION",
            "city": "New Tripoli",
            "state": "PA",
            "postal_code": "180663815",
            "country_code": "US",
            "telephone_number": "610-298-2851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "MARNIE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-05",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA057506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Louis Cole III, MD
• Douglas R Colkitt, M.D.
• Comfort Dental Excellence LLC
• Concern-Processional Services for Children, Youth & Families
• Kelly M Conforti, LCSW
• Melissa Dagnall, PA-C
• Christy Lynn Delgado, CRNP
• Scott Michael Demasi, RN,BC-NI
• Dematte Chiropractic Associates
• Dematte Chiropractic LLC

• Medical Physician Assistant in Lehighton, PA
• Providers in Lehighton, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.