Active NPI
Kristina Cunningham, ANP-BC
- Adult Health Nurse Practitioner
- Sterling Heights, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 4704253003
- Practice address
- 5456 15 Mile Rd
101
Sterling Heights, MI 48310-5110 - Phone
- (586) 977-7246
- NPI assigned
- Oct 26, 2012
- Last updated
- Oct 26, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 4704253003 | MI | Primary |
Addresses
Primary practice location
5456 15 Mile Rd
101
Sterling Heights, MI 48310-5110
Mailing address
5456 15 Mile Rd
101
Sterling Heights, MI 48310-5110
Phone (586) 977-7246
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1330 Grand Pointe CT
Grand Blanc, MI 48439-5502
Phone (810) 695-8920
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4704253003 | MI | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vpa PC | Current | Accepting new patients | |
| Ih Physician Services PC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest H PLLC | Current | Accepting new patients | |
| Complexcare Medical Group Midwest M PLLC | Nurse Practitioner | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Theoria Medical | Nurse Practitioner | Current | Accepting new patients |
| Vpa PC | Current | Accepting new patients | |
| Vpa PC | Current | Accepting new patients | |
| Ih Physician Services, PC | Current | Accepting new patients | |
| Michigan Medical Clinics, Inc | Past | Accepting new patients | |
| SJMH Medical Practice-SMHC | Nurse Practitioner | Past | Accepting new patients |
| Wellbridge of Clarkston, LLC | Past | Accepting new patients |
Locations
2452 Sir Barton Way
Ste 303
Lexington, KY 40509
Phone (859) 340-3233
5655 Clarkston Rd
Clarkston, MI 48348
Phone (810) 623-5216
39425 Garfield Rd
Ste 22A
Clinton Township, MI 48038
Phone (586) 649-3181
6700 W Outer Dr
Detroit, MI 48235
Phone (313) 836-1700
11941 Belsay Rd
Grand Blanc, MI 48439
Phone (810) 694-1970
1330 Grand Pointe Ct
Grand Blanc, MI 48439
Phone (810) 344-3518
3139 E Baldwin Rd
Grand Blanc, MI 48439
Phone (810) 445-5300
1320 Waldo Ave
Ste 300
Midland, MI 48642
Phone (586) 649-3181
41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763
25925 Telegraph Rd
Ste 102A
Southfield, MI 48033
Phone (248) 809-1442
26211 Central Park Blvd
Ste 600
Southfield, MI 48076
Phone (248) 936-2075
500 Kirts Blvd
Ste 200
Troy, MI 48084
Phone (248) 824-6060
655 Brawley School Rd
Ste 200
Mooresville, NC 28117
Interoperability endpoints
- kcunningham553687@direct.hfhs.org
Organizations & group practices 12
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.
-
- Internal Medicine Physician
- Novi, MI
- NPI 1457144933
-
- Internal Medicine Physician
- Novi, MI
- NPI 1528851607
Nurse Practitioner
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Midland, MI
- NPI 1437960101
-
- Family Medicine Physician
- Lexington, KY
- NPI 1639318520
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Knoxville, TN
- NPI 1770469389
-
- Urgent Care Clinic/Center
- Southfield, MI
- NPI 1154705374
-
- Internal Medicine Physician
- Pontiac, MI
- NPI 1346284684
Nurse Practitioner
-
- Skilled Nursing Facility
- Independence Township, MI
- NPI 1669965299
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1351209600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351209600000",
"number": "1962755058",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5456 15 MILE RD",
"address_2": "101",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105110",
"telephone_number": "586-977-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5456 15 MILE RD",
"address_2": "101",
"city": "STERLING HEIGHTS",
"state": "MI",
"postal_code": "483105110",
"telephone_number": "586-977-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CUNNINGHAM",
"first_name": "KRISTINA",
"credential": "ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-26",
"last_updated": "2012-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "MI",
"license": "4704253003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sterling Heights, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.