Individual provider Active NPI

Carolynn Cunningham, D.C.

  • Chiropractor
  • Bonita Springs, FL
National Provider Identifier
1821425331
Registry record updated May 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
11000 Issued in FL
Practice address
24870 S Tamiami TRL
Ste 3
Bonita Springs, FL 34134-7014
Phone
(239) 676-3663
Fax
(239) 908-0440
NPI assigned
Sep 28, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 11000 FL Primary

Addresses

Primary practice location

24870 S Tamiami TRL
Ste 3
Bonita Springs, FL 34134-7014

Mailing address

24870 S Tamiami TRL
Ste 3
Bonita Springs, FL 34134-7014
Phone (239) 676-3663

Other names 1

  • Dr. Carolynn Casale Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11000FLMDChiropractor

NPI Registry JSON

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

{
    "created_epoch": "1380326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494374400000",
    "number": "1821425331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24870 S TAMIAMI TRL",
            "address_2": "STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347014",
            "telephone_number": "239-676-3663",
            "fax_number": "239-908-0440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24870 S TAMIAMI TRL",
            "address_2": "STE 3",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341347014",
            "telephone_number": "239-676-3663",
            "fax_number": "239-908-0440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "CAROLYNN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-09-28",
        "last_updated": "2017-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "FL",
            "license": "11000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYNN",
            "last_name": "CASALE",
            "prefix": "DR.",
            "credential": "D.C.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.