Individual provider Active NPI

Mary J Cunningham Laube, ARNP

  • Family Nurse Practitioner
  • Leesburg, FL
National Provider Identifier
1699706010
Registry record updated Dec 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN2157532 Issued in FL
Practice address
550 E Dixie Ave
Leesburg, FL 34748-5925
Phone
(352) 323-2273
NPI assigned
Jul 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2025

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 ARNP2157532 FL
Family Nurse Practitioner 363LF0000X APRN2157532 FL Primary

Addresses

Primary practice location

550 E Dixie Ave
Leesburg, FL 34748-5925

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 715-0374

Other practice location 1

38021 Market Sq
Zephyrhills, FL 33542-7504
Phone (813) 715-0374

Other identifiers 3

IdentifierTypeStateIssuer
021363400MedicaidFL
303842400MedicaidFL
Y0158OtherFLBLUE CROSS BLUE SHIELD

Other names 1

  • Mary J Cunningham Homminga Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050323000955 FL Practitioner - Nurse Practitioner 2769438738 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
FMC Urgent Care LLCGroup PAC ID 7618166984, 21 clinicians

Practice addresses (Care Compare)

38021 Market Square Dr
Zephyrhills, FL 33542-7504
Phone (813) 715-0374

38105 Market Square Dr
Zephyrhills, FL 33542-7505
Phone (813) 715-0374

38135 Market Square Dr
Zephyrhills, FL 33542-7505

Hospital & facility affiliations

  • Uf Health Leesburg Hospital Hospital, Leesburg, FL, CCN 100084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN2157532FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health System/ Sunbelt, Inc. Family CurrentSince Apr 5, 2019 Accepting new patients
W4P LLC CurrentSince Jan 1, 2017 Accepting new patients
FMC Urgent Care LLC CurrentSince Aug 30, 2021 Accepting new patients
Adventist Health System Sunbelt, Inc. Family CurrentSince Apr 5, 2019 Accepting new patients
Michael W Higgins DO PA Dba Hernando Orthopaedic & Spinal Surgery CurrentSince Jun 4, 2018 Accepting new patients
Michael W Higgins D O P a CurrentSince Jun 4, 2018 Accepting new patients
Leesburg Regional Medical Center Physician Services LLC CurrentSince Dec 23, 2025 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 10, 2021 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince Dec 10, 2021 Accepting new patients
Dwic of Tampa Bay, Inc Past Accepting new patients
Quality Drive Emergency Physicians LLC Past Accepting new patients
Emergency Medicine of Florida, Inc. Past Accepting new patients
Sabal Palm Emergency Physicians Past Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

17240 Cortez Blvd
Brooksville, FL 34601
Phone (352) 544-6060

2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990

1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077

600 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-5090

550 E Dixie Ave
Leesburg, FL 34748
Phone (352) 323-2273

601 E Dixie Ave
Ste 801
Leesburg, FL 34748
Phone (352) 323-1405

17021 US Highway 441
Mount Dora, FL 32757
Phone (352) 323-5762

4660 13th St
Saint Cloud, FL 34769
Phone (321) 805-4650

10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002

4055 Mariner Blvd
Spring Hill, FL 34609
Phone (352) 340-5935

1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000

1501 N US Highway 441
Ste 1830
The Villages, FL 32159
Phone (352) 391-9200

11375 Cortez Blvd
Weeki Wachee, FL 34613
Phone (352) 596-4209

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38021 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 715-0374

Networks

  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: mcunningham562431@direct.shands.ufl.edu

Organizations & group practices 13

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.

View all 13

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765152000000",
    "number": "1699706010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-715-0374",
            "fax_number": "133-555-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 E DIXIE AVE",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485925",
            "telephone_number": "352-323-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38021 Market Sq",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335427504",
            "country_code": "US",
            "telephone_number": "813-715-0374",
            "fax_number": "813-355-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNNINGHAM LAUBE",
        "first_name": "MARY",
        "middle_name": "J",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-05",
        "last_updated": "2025-12-08",
        "certification_date": "2025-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP2157532",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN2157532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021363400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "303842400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y0158",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "CUNNINGHAM HOMMINGA",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.