Individual provider Active NPI

Alicia Cunningham, MD

  • Internal Medicine Physician
  • Burlington, VT
National Provider Identifier
1730197153
Registry record updated Nov 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
420011009 Issued in VT
Practice address
181 S Union St
Burlington, VT 05401-4581
Phone
(802) 881-9019
Fax
(802) 318-4052
NPI assigned
Aug 3, 2006
Last updated
Nov 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 420011009 VT Primary

Addresses

Primary practice location

181 S Union St
Burlington, VT 05401-4581

Mailing address

45 Overlake Park
Burlington, VT 05401-4014
Phone (802) 862-0644

Other identifiers 1

IdentifierTypeStateIssuer
1011822MedicaidVT

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Alicia.Cunningham@886298902532.direct.elationemr.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Apr 1, 2013 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
420011009VTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Vermont Medical Center Inc Internal Medicine Past Accepting new patients
Fletcher Allen Health Care Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: alicia.cunningham@886298902532.direct.elationemr.com

Organizations & group practices 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604448000000",
    "number": "1730197153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 OVERLAKE PARK",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014014",
            "telephone_number": "802-862-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 S UNION ST",
            "city": "BURLINGTON",
            "state": "VT",
            "postal_code": "054014581",
            "telephone_number": "802-881-9019",
            "fax_number": "802-318-4052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ALICIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-03",
        "last_updated": "2020-11-04",
        "certification_date": "2020-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VT",
            "license": "420011009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1011822",
            "state": "VT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Alicia.Cunningham@886298902532.direct.elationemr.com",
            "affiliation": "N",
            "address_1": "181 S Union St",
            "city": "Burlington",
            "state": "VT",
            "country_code": "US",
            "postal_code": "054014581",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, VT

Sources for this page

Verify at the official NPI Registry.