Active NPI
Patrice Nicole Cunningham, WHNP-BC
- Women's Health Nurse Practitioner
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 5016964
- Practice address
- 1901 E 5TH St
Charlotte, NC 28204-2429 - Phone
- (980) 367-4363
- Fax
- (704) 384-1644
- NPI assigned
- Oct 5, 2022
- Last updated
- Apr 24, 2024
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5016964 | NC | |
| Women's Health Nurse Practitioner | 363LW0102X | 5016964 | NC | Primary |
Addresses
Primary practice location
1901 E 5TH St
Charlotte, NC 28204-2429
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (980) 367-4363
Other practice location 1
1718 E 4th St Ste 201
Charlotte, NC 28204-3194
Phone (704) 384-0560
Other practice location 2
6331 Carmel Rd Ste 102
Charlotte, NC 28226-8286
Phone (980) 367-4363
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
106 Langtree Village Dr
Suite 200
Mooresville, NC 28117-7571
Phone (704) 384-7101
1918 Randolph Rd
Suite 670
Charlotte, NC 28207-1119
Phone (704) 384-1620
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5016964 | NC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
15825 Ballantyne Medical Pl
Ste 200
Charlotte, NC 28277
Phone (704) 384-1925
1718 E 4th St
Ste 201
Charlotte, NC 28204
Phone (704) 384-0560
1901 E 5th St
Charlotte, NC 28204
Phone (980) 367-4363
1918 Randolph Rd
Ste 670
Charlotte, NC 28207
Phone (704) 334-9535
200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424
5933 Blakeney Park Dr
Ste 100
Charlotte, NC 28277
Phone (704) 316-2021
6331 Carmel Rd
Ste 102
Charlotte, NC 28226
Phone (704) 316-2354
14330 Oakhill Park Ln
Ste 100
Huntersville, NC 28078
106 Langtree Village Dr
Ste 200
Mooresville, NC 28117
Phone (704) 316-5570
911 W Henderson St
Ste 300
Salisbury, NC 28144
Phone (704) 636-9270
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- pcunningham310002@direct.novanthealth.org
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Bradford Clinic Obstetrics & Gynecology
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1225094204
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Harbor Pointe OB/GYN
- Obstetrics & Gynecology Physician
- Huntersville, NC
- NPI 1780141598
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664928000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713916800000",
"number": "1679298327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "980-367-4363",
"fax_number": "704-316-2558"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 E 5TH ST",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282042429",
"telephone_number": "980-367-4363",
"fax_number": "704-384-1644"
}
],
"practiceLocations": [
{
"address_1": "1718 E 4th St Ste 201",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282043194",
"country_code": "US",
"telephone_number": "704-384-0560",
"fax_number": "704-384-0561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6331 Carmel Rd Ste 102",
"address_purpose": "LOCATION",
"city": "Charlotte",
"state": "NC",
"postal_code": "282268286",
"country_code": "US",
"telephone_number": "980-367-4363",
"fax_number": "704-316-2558",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "PATRICE",
"middle_name": "NICOLE",
"name_prefix": "Ms.",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-05",
"last_updated": "2024-04-24",
"certification_date": "2024-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5016964",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NC",
"license": "5016964",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2024; 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.