Individual provider Active NPI

Anne Monique Cunningham-Nevel

  • Day Training/Habilitation Specialist
  • Wesley Chapel, FL
National Provider Identifier
1912651274
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
License
5672-5-GC Issued in FL
Practice address
4010 Langdrum Dr
Wesley Chapel, FL 33543-7900
Phone
(813) 352-1431
NPI assigned
Feb 7, 2022
Last updated
Feb 7, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X 5672-5-GC FL Primary

Addresses

Primary practice location

4010 Langdrum Dr
Wesley Chapel, FL 33543-7900

Mailing address

4010 Langdrum Dr
Wesley Chapel, FL 33543-7900
Phone (813) 352-1431

Other identifiers 1

IdentifierTypeStateIssuer
021912500MedicaidFL

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

LicenseStateTypeSpecialty
5672-5-GCFLMDDay Training/Habilitation Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Precious Angels Group Home, Corp Current Accepting new patients

Organizations & group practices 1

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": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1912651274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4010 LANGDRUM DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437900",
            "telephone_number": "813-352-1431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4010 LANGDRUM DR",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335437900",
            "telephone_number": "813-352-1431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM-NEVEL",
        "first_name": "ANNE",
        "middle_name": "MONIQUE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "FL",
            "license": "5672-5-GC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021912500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.