Individual provider Active NPI

Ashley Nicole Cunningham, FNP-BC

  • Nurse Practitioner
  • Jerusalem, OH
National Provider Identifier
1740855022
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN.CNP.0028863 Issued in OH
Practice address
51110 Moore Ridge Road
Jerusalem, OH 43747
Phone
(740) 213-5864
NPI assigned
May 20, 2021
Last updated
Jul 19, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN.CNP.0028863 OH Primary

Addresses

Primary practice location

51110 Moore Ridge Road
Jerusalem, OH 43747

Mailing address

24 Homestead Ave
Wheeling, WV 26003-6638
Phone (740) 213-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, WV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220801001812 OH Practitioner - Nurse Practitioner 3173905619 Reassigns benefits to 1 organization
I20220816000195 WV Practitioner - Nurse Practitioner 3173905619 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN.CNP.0028863OHMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Vic Wood Inc CurrentSince Apr 22, 2022 Accepting new patients
Doctors Urgent Care LLC CurrentSince Apr 19, 2022 Accepting new patients
Valley Radiologists Inc PastSince Apr 22, 2022 Accepting new patients

Locations

51342 National Rd
Ste A
St Clairsvle, OH 43950
Phone (740) 699-0940

24 Homestead Ave
Wheeling, WV 26003
Phone (304) 232-1020

Organizations & group practices 3

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": "1621468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1740855022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 HOMESTEAD AVE",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "260036638",
            "telephone_number": "740-213-5864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51110 MOORE RIDGE ROAD",
            "city": "JERUSALEM",
            "state": "OH",
            "postal_code": "43747",
            "telephone_number": "740-213-5864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ASHLEY",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-20",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OH",
            "license": "APRN.CNP.0028863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jerusalem, OH

Sources for this page

Verify at the official NPI Registry.