Active NPI
Stacey Cunningham
- Occupational Therapist
- Southern Pines, NC
National Provider Identifier
1871421917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 17927
- Practice address
- 100 Saint Andrews PL
Southern Pines, NC 28387-2347 - Phone
- (906) 450-3482
- NPI assigned
- May 11, 2026
- Sex
- Unspecified or another gender identity
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 17927 | NC | Primary |
Addresses
Primary practice location
100 Saint Andrews PL
Southern Pines, NC 28387-2347
Mailing address
100 Saint Andrews PL
Southern Pines, NC 28387-2347
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 17927 | NC | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1778457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778630400000",
"number": "1871421917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 SAINT ANDREWS PL",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872347"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 SAINT ANDREWS PL",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "283872347",
"telephone_number": "906-450-3482"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "STACEY",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-05-11",
"last_updated": "2026-05-13",
"certification_date": "2026-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "17927",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.