Cunningham Home Medical Equipment LLC

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

654 Issued in TN

Legal business name

CUNNINGHAM HOME MEDICAL EQUIPMENT LLC

Practice address

201 N Broad St
New Tazewell, TN 37825-6603

Phone

(423) 626-3151

Fax

(423) 626-7384

NPI assigned

Jul 15, 2006

Last updated

Mar 16, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Frankie J Tolliver

Title

Owner Manager

Phone

(423) 626-3151

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in TN

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Cunningham Drug Co Inc.

  dba Cunningham Drug Company Inc

  • Community/Retail Pharmacy
  • New Tazewell, TN
  • NPI 1255357117

  O20100930090593

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615852800000",
    "number": "1821015256",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 N BROAD ST",
            "address_2": "PO BOX 67",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378256603",
            "telephone_number": "423-626-3151",
            "fax_number": "423-626-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 N BROAD ST",
            "city": "NEW TAZEWELL",
            "state": "TN",
            "postal_code": "378256603",
            "telephone_number": "423-626-3151",
            "fax_number": "423-626-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CUNNINGHAM HOME MEDICAL EQUIPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-15",
        "last_updated": "2021-03-16",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "TOLLIVER",
        "authorized_official_first_name": "FRANKIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "423-626-3151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "TN",
            "license": "654",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "3018874",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED HEALTH PARTNERS",
            "identifier": "100021369",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3512144",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brianna Cooke, FNP-C
• Kathryn Linley Cowan, LPC/MHSP
• Emily M Cox
• Kaylee Brianna Cox, PA
• Cunningham Drug Co Inc. (Cunningham Drug Company Inc)
• Ashley Damron
• Sara Elizabeth Daniels, R.N.
• David G. Sanford, M.D., P.S.C.
• Charles H Debusk, M.D.
• Gina Marie Defranco, DO

• Durable Medical Equipment & Medical Supplies in New Tazewell, TN
• Providers in New Tazewell, TN by specialty
• Durable Medical Equipment & Medical Supplies in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.