Individual provider Active NPI

Laura Beth Cunningham, NP

  • Family Nurse Practitioner
  • Hurst, TX
National Provider Identifier
1932641826
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP140645 Issued in TX
Practice address
400 Mid Cities Blvd
Hurst, TX 76054-2430
Phone
(817) 554-8200
Fax
(817) 554-8204
NPI assigned
Nov 9, 2016
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X CNP-03172 NM
Family Nurse Practitioner 363LF0000X AP140645 TX Primary
Family Nurse Practitioner 363LF0000X CNP-03172 NM
Registered Nurse 163W00000X 103013 OK

Addresses

Primary practice location

400 Mid Cities Blvd
Hurst, TX 76054-2430

Mailing address

400 Mid Cities Blvd
Hurst, TX 76054-4013
Phone (817) 554-8200

Other names 1

  • Laura Beth Burkitt Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20170523001761 NM Practitioner - Nurse Practitioner 8325315336 Reassigns benefits to 1 organization
I20220511002460 TX Practitioner - Nurse Practitioner 8325315336 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

200 N Virginia St
Baylor Scott and White Fam Med Ctr Terrell
Terrell, TX 75160-2732
Phone (469) 800-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Practitioner, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
103013OKMDRegistered Nurse
CNP-03172NMMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network CurrentSince May 2, 2022 Accepting new patients
Healthtexas Provider Network CurrentSince May 2, 2022 Accepting new patients
Presbyterian Healthcare Services Current Accepting new patients
Presbyterian Healthcare Services CurrentSince May 1, 2017 Accepting new patients
Healthtexas Provider Network Current Accepting new patients
Presbyterian Healthcare Services CurrentSince May 1, 2017 Accepting new patients
Hurst Total Care PA PastSince Jul 28, 2019 Accepting new patients

Locations

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

301 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-7000

402 E Miel de Luna Ave
Tucumcari, NM 88401
Phone (575) 461-1660

301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

200 N Virginia St
Terrell, TX 75160
Phone 97255174007500

Interoperability endpoints

  • Direct secure messaging: lcunningham1050331@direct.sw.org

Organizations & group practices 7

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1932641826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760544013",
            "telephone_number": "817-554-8200",
            "fax_number": "817-554-8204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 MID CITIES BLVD",
            "city": "HURST",
            "state": "TX",
            "postal_code": "760542430",
            "telephone_number": "817-554-8200",
            "fax_number": "817-554-8204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "LAURA",
        "middle_name": "BETH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-09",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NM",
            "license": "CNP-03172",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP140645",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NM",
            "license": "CNP-03172",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OK",
            "license": "103013",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BURKITT",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Hurst, TX

Sources for this page

Verify at the official NPI Registry.