Elizabeth Nicole Cunningham, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

021784 Issued in NY

Practice address

8 S Portland Ave Apt 4
Brooklyn, NY 11217-1307

Phone

(518) 396-7623

NPI assigned

Feb 12, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1518393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518393600000",
    "number": "1891294229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 S PORTLAND AVE APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171307",
            "telephone_number": "518-396-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S PORTLAND AVE APT 4",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112171307",
            "telephone_number": "518-396-7623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "ELIZABETH",
        "middle_name": "NICOLE",
        "credential": "PAC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-02-12",
        "last_updated": "2018-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "021784",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian A Cunnane
• Selma Cunningham-Hackett
• Benjamin Scott Cunningham, MD
• Candace Cunningham, LMHC
• Colleen Cunningham
• Jennifer Carroll Cunningham, MS, OTR/L
• Jewel Marie Cunningham
• Kathy Elizabeth Cunningham, CNM
• Kiana Cunningham
• Michael Joseph Cunningham, M.S., CCC-SLP

• Physician Assistant in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2018; 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.