CARRIE M CUNNINGHAM (NPI# 1194022368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194022368 |
| Entity Type | Individual |
| Full Name | CARRIE M CUNNINGHAM |
| Credential | FNP |
| Practice Address |
2200 S Main St Paris IL 61944 |
| Mailing Address |
2200 S Main St Paris IL 61944-2966 |
| Practice Telephone | 2174634340 |
| Practice Fax Number | 2174634342 |
| Mailing Telephone | 2174634340 |
| Mailing Fax Number | 2174634342 |
| Enumeration Date | 2011-02-23 |
| Last Update Date | 2018-07-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
209.017707 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
28179464A | IN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 201029170 | 05 | |
| IN | ANTHEM | 000000740975 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588950745 | Carrie Melissa Cunningham | Family Medicine | 982 Mission St, San Francisco, CA 94103-2911 | 2011-06-24 |
| 1063628378 | Carrie Lynn Cunningham | Licensed Practical Nurse | 2581 Washington Rd, Summerfield Commons Suite 235, Pittsburgh, PA 15241-2564 | 2007-05-15 |
| Street Address |
2200 S MAIN ST |
| City | PARIS |
| State | IL |
| Zip Code | 61944 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235648221 | Matthew K Woodruff | Physician Assistant | 2200 S Main St, Paris, IL 61944-2966 | 2017-09-22 |
| 1790026425 | Karen S. Wilson-guinto | Nurse Practitioner | 2200 S Main St, Paris, IL 61944-2966 | 2013-03-05 |
| 1073801734 | Michelle K Miller | Nurse Practitioner | 2200 S Main St, Paris, IL 61944-2966 | 2011-07-15 |
| 1942536883 | Jacqueline Ann Coffman | Physician Assistant | 2200 S Main St, Paris, IL 61944-2966 | 2009-10-28 |
| 1831315225 | Hospital & Medical Foundation of Paris, Inc | Clinic/Center | 2200 S Main St, Paris, IL 61944 | 2007-04-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639653140 | Cynthia Elaine Barbee | Speech-Language Pathologist | 300 East Wood Street, Paris, IL 61944 | 2018-09-20 |
| 1093853855 | Marilyn Marks Frey | Clinical Neuropsychologist | 723 E Court St, Paris, IL 61944 | 2007-02-02 |
| 1760546782 | Hospital & Medical Foundation of Paris Inc | Family Medicine | 1 Phipps Lane, Paris, IL 61944 | 2006-12-21 |
| 1063586550 | Robert Ellsworth Sprague | Dentist | 110 Sheriff St, Paris, IL 61944 | 2006-11-17 |
| 1629152244 | Elaine Rachelle Good | Speech-Language Pathologist | 12443 E 1000th Rd, Paris, IL 61944 | 2006-10-24 |
| 1205883428 | Human Resources Center of Edgar and Clark Counties | Day Training, Developmentally Disabled Services | 118 E Court St, Paris, IL 61944 | 2006-05-31 |
| 1932109121 | Maria C Horvat | Obstetrics & Gynecology | 727 E Court St, Paris, IL 61944 | 2005-07-28 |
| 1588164784 | Charlene Beth Moore | Nurse Practitioner | 1 Phipps Lane, Paris, IL 61944 | 2018-02-15 |
| 1942750948 | Hospital & Medical Foundation of Paris, Inc. | Family Medicine | 727 E Court St, Paris, IL 61944 | 2016-10-13 |
| 1083080899 | Joy Williams | Nurse Practitioner | 727 E Court St, Paris, IL 61944 | 2015-08-16 |
| Find all providers in zip 61944 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063038958 | Wellness & Hormone Therapy Clinic | Nurse Practitioner | 3025 Lamar Ave, Paris, TX 75460-5013 | 2020-06-17 |
| 1811547524 | Amber Rene' Hines | Nurse Practitioner | 520 N Collegiate Dr Ste A, Paris, TX 75460-4885 | 2019-09-14 |
| 1053896316 | Karey Dale Asay | Nurse Practitioner | 2600 Lamar Ave, Paris, TX 75460-4864 | 2018-10-02 |
| 1093244162 | Mallory A Simonton | Nurse Practitioner | 1 Phipps Ln, Paris, IL 61944-2919 | 2017-06-12 |
| 1194018622 | Yvette Cooper Barton | Nurse Practitioner | 2835 E Wood St, Suite E, Paris, TN 38242-5948 | 2011-05-17 |
| 1932336898 | Patricia Kay Short | Nurse Practitioner | 520 N Collegiate Dr, Paris, TX 75460 | 2009-06-18 |
| 1336385335 | Carolyn Jan Robinson-cowley | Nurse Practitioner | 2675 41st St Se Ste 102, Paris, TX 75462-8209 | 2008-12-21 |
| 1972767804 | Millicent Kee | Nurse Practitioner | 875 S Collegiate Dr, Paris, TX 75460-6305 | 2008-07-10 |
| 1902089329 | Housecall Practitioners, Inc. | Nurse Practitioner | 137 County Road 42200, Paris, TX 75462-1400 | 2007-12-07 |
| 1851502009 | Terrie B Watson | Nurse Practitioner | 1009 E Wood St, Paris, TN 38242-4331 | 2007-05-26 |
| Find all providers in PARIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.