Individual provider Active NPI

Patrice Nicole Cunningham, WHNP-BC

  • Women's Health Nurse Practitioner
  • Charlotte, NC
National Provider Identifier
1679298327
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Women's Health Nurse PractitionerTaxonomy code 363LW0102X
License
5016964 Issued in NC
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, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230406000467 NC Practitioner - Nurse Practitioner 4082089966 Reassigns benefits to 2 organizations

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, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

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

LicenseStateTypeSpecialty
5016964NCMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Sep 8, 2023 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 CurrentSince Jan 12, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 12, 2023 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.