Individual provider Active NPI

Hanna Lovelady Cunningham, FNP

  • Primary Care Nurse Practitioner
  • Manchester, TN
National Provider Identifier
1689179251
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
23711 Issued in TN
Practice address
585 Interstate Dr Ste B
Manchester, TN 37355-3191
Phone
(931) 728-9000
Fax
(931) 728-2726
NPI assigned
Mar 27, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 23711 TN Primary

Addresses

Primary practice location

585 Interstate Dr Ste B
Manchester, TN 37355-3191

Mailing address

585 Interstate Dr Ste B
Manchester, TN 37355-3191
Phone (931) 728-9000

Other identifiers 1

IdentifierTypeStateIssuer
23711OtherTNFNP LICENSE

Other names 1

  • Ms. Hanna Suzanne Lovelady Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20191018002717 TN Practitioner - Nurse Practitioner 7315278579 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coffee County Hospital Group IncGroup PAC ID 1456317783, 87 clinicians
Jay Michael Trussler DO PCGroup PAC ID 4880630375, 8 clinicians

Practice addresses (Care Compare)

482 Interstate Dr
Suite a
Manchester, TN 37355-3109
Phone (931) 728-4718

585 Interstate Dr B
Manchester, TN 37355-3191
Phone (931) 728-9000

Hospital & facility affiliations

  • Amedisys Home Care Home health agency, Winchester, TN, CCN 447238
  • Unity Medical Center Hospital, Manchester, TN, CCN 440007
  • Vanderbilt Bedford Hospital Hospital, Shelbyville, TN, CCN 440137

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
23711TNMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Woodland Wellness, Inc CurrentSince Feb 9, 2024 Accepting new patients
Woodland Wellness, Inc CurrentSince Feb 9, 2024 Accepting new patients
Iris Medical Group CurrentSince Oct 1, 2023 Accepting new patients
Iris Wound Care, PC Past Accepting new patients

Locations

9019 Overlook Blvd
Ste C1B
Brentwood, TN 37027

115 N Woodland St
Manchester, TN 37355
Phone (931) 723-7904

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 and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1689179251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "585 INTERSTATE DR STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553191",
            "telephone_number": "931-728-9000",
            "fax_number": "931-728-2726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "585 INTERSTATE DR STE B",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553191",
            "telephone_number": "931-728-9000",
            "fax_number": "931-728-2726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "HANNA",
        "middle_name": "LOVELADY",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-27",
        "last_updated": "2023-03-07",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "TN",
            "license": "23711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FNP LICENSE",
            "identifier": "23711",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HANNA",
            "last_name": "LOVELADY",
            "middle_name": "SUZANNE",
            "prefix": "MS.",
            "credential": "FNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Manchester, TN

Sources for this page

Verify at the official NPI Registry.