Individual provider Active NPI

Julie Cunningham, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Lowell, MA
National Provider Identifier
1962959411
Registry record updated Jul 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN2268543 Issued in MA
Practice address
35 Market St
Lowell, MA 01852
Phone
(978) 459-0389
Fax
(978) 459-7642
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN2268543 MA Primary

Addresses

Primary practice location

35 Market St
Lowell, MA 01852

Mailing address

35 Market St
Lowell, MA 01852-6245
Phone (978) 459-0389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 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
I20170130000957 MA Practitioner - Nurse Practitioner 3779865639 Reassigns benefits to 3 organizations
I20200422002506 NH Practitioner - Nurse Practitioner 3779865639 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

142 Lowell Rd
Unit 17 168
Hudson, NH 03051-4938
Phone (603) 580-9445

733 Turnpike St
Suite 133
North Andover, MA 01845-6137
Phone (978) 300-2089

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bridgewell, Inc CurrentSince Nov 19, 2016 Accepting new patients
New England Center for Mental Health LLC CurrentSince Apr 14, 2018 Accepting new patients
Julie Cunningham Psychiatric Services PLLC Psychiatric/Mental Health CurrentSince Dec 8, 2016 Accepting new patients
Bridgewell Counseling Past Accepting new patients

Locations

289 Great Rd
Ste G1
Acton, MA 01720
Phone (978) 679-1200

35 Market St
Ste 2
Lowell, MA 01852
Phone (978) 459-0389

35 Market St
Lowell, MA 01852
Phone (978) 459-0389

733 Turnpike St
#133
North Andover, MA 01845
Phone (978) 300-2089

142 Lowell Rd
Unit 17168
Hudson, NH 03051
Phone (603) 580-9445

17 Windham Rd
Pelham, NH 03076
Phone (603) 329-2132

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532476800000",
    "number": "1962959411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "018526245",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MARKET ST",
            "city": "LOWELL",
            "state": "MA",
            "postal_code": "01852",
            "telephone_number": "978-459-0389",
            "fax_number": "978-459-7642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUNNINGHAM",
        "first_name": "JULIE",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2018-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "RN2268543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MA

Sources for this page

Verify at the official NPI Registry.