MS. JENNIFER ELLEN CUNNINGHAM


Address: 164 Summit Ave, Fain Building 3rd Floor, Providence, RI 02906-2853
Phone: 4017932920

MS. JENNIFER ELLEN CUNNINGHAM (NPI# 1386827780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386827780
Entity Type Individual
Full Name MS. JENNIFER ELLEN CUNNINGHAM
Credential APRN
Practice Address 164 Summit Ave
Fain Building 3rd Floor
Providence
RI 02906-2853
Practice Telephone 4017932920
Practice Fax Number 4017932859
Mailing Telephone 4017932920
Mailing Fax Number 4017932859
Enumeration Date 2007-12-10
Last Update Date 2015-05-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LA2200X Nurse Practitioner
Specialization: Adult Health
NPP37511 RI Physician Assistants & Advanced Practice Nursing Providers
N 363LA2200X Nurse Practitioner
Specialization: Adult Health
003658 CT Physician Assistants & Advanced Practice Nursing Providers

Other Providers JENNIFER CUNNINGHAM

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1932578390 Jennifer Lee Cunningham Occupational Therapy Assistant 10949 Johnnycake Ridge Rd, Painesville, OH 44077-2430 2015-09-16
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1699069864 Jennifer Cunningham Counselor 23 W Diamond Ave, Suite 200 A, Gaithersburg, MD 20877-2187 2011-06-06
1083815237 Jennifer Camille Cunningham Speech-Language Pathologist 1215 Dunn Ave Ste 6, Jacksonville, FL 32218-4897 2007-05-29
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1568073237 Jennifer Cunningham Technician 281 Maple Ave, Oak Hill, WV 25901-3475 2020-08-14
1376174854 Jennifer Cunningham Behavior Technician 1887 Monterey Hwy Ste 225, San Jose, CA 95112-6192 2020-02-03
1982248381 Jennifer Carroll Cunningham Occupational Therapist 138 Bay 20th St, Brooklyn, NY 11214-4620 2019-10-30
1346711652 Jennifer Cunningham Physical Therapist 111 W Jefferson Blvd, South Bend, IN 46601-1994 2018-12-13
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Office Location

Street Address 164 SUMMIT AVE
FAIN BUILDING 3RD FLOOR
City PROVIDENCE
State RI
Zip Code 02906-2853

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558369512 Josephine Salhab Physician Assistant 164 Summit Ave, Rm C70, Providence, RI 02906-2853 2005-07-13
1619519865 Sarah Mcnerney Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2019-10-09
1831743095 Tracy Lynn Carraggi Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2853 2019-07-26
1689233975 Nicole Parascandolo Nurse Practitioner 164 Summit Ave, Providence, RI 02906-2894 2019-06-10
1164992558 Lisha Andrew Dietitian, Registered 164 Summit Ave, Providence, RI 02906-2894 2018-11-28
1689156242 Monique Coley Physician Assistant 164 Summit Ave, Providence, RI 02906-2894 2018-08-30
1235615006 Sameh Mohamed Internal Medicine 164 Summit Ave, Providence, RI 02906-2894 2018-07-16
1578058087 Noor N Safadi Physician Assistant 164 Summit Ave, Providence, RI 02906-2853 2018-06-27
1356847172 Heidi Jimenez Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-04-02
1831694439 Laura Canavan Nurse Practitioner 164 Summit Ave, Providence, RI 02906 2018-03-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1285245175 Birdsong Traditional Medicine, LLC Acupuncturist 148 Waterman St. Ground Level, Providence, RI 02906 2020-08-13
1881218071 Madison Pomerantz Psychiatry & Neurology 345 Blackstone Boulevard, Box G-bh, Providence, RI 02906 2020-06-03
1316453855 Ellen Van Ingen Darling Psychologist 285 Governor St Ste 250, Providence, RI 02906 2017-12-20
1275063919 Marissa Martz Psychiatry & Neurology 345 Blackstone Blvd., Providence, RI 02906 2017-06-15
1235663220 Alena Haltzman Counselor 223 Summit Ave, Providence, RI 02906 2017-04-17
1669823399 Kathryn Fleming-ives LLC Psychiatry & Neurology 355 Hope St Unit 1, Providence, RI 02906 2016-06-23
1134573389 Sarah E. Kramer Psychiatry & Neurology Butler Hospital, Adult Psychiatry Residency, 345 Blackstone Blvd, Providence, RI 02906 2016-04-13
1538534201 Laura Anne Buss Social Worker 55 Hope St., Providence, RI 02906 2015-12-07
1700289360 Tinatin Surguladze Counselor 205 Waterman St Suite 106, Providence, RI 02906 2014-09-26
1467851519 Jamila Allouane Social Worker 120 Wayland Avenue Suite 2, Providence, RI 02906 2014-08-14
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Taxonomy Information

Taxonomy Code 363LA2200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Adult Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1689290751 Afya Services LLC Nurse Practitioner 61 Leah St, Providence, RI 02908-5130 2020-06-24
1275159501 Valerie Marie Almeida Monroe Nurse Practitioner 60 Valley St Ste 104, Providence, RI 02909-7418 2020-06-23
1104855386 Kathy J Cookson Nurse Practitioner 255 Promenade St, Apt. 348, Providence, RI 02908-5746 2006-07-01
1164474813 Michelle Lynn Rowe Nurse Practitioner 150 Chestnut St, Providence, RI 02903-4645 2006-05-17
1437143526 Lisa J Dowd Nurse Practitioner 44 W River St, Providence, RI 02904-2609 2005-09-06
1760009518 Hassan Saada Nurse Practitioner 830 Chalkstone Ave, Providence, RI 02908-4734 2020-06-28
1003452913 Beverly Casinelli Nurse Practitioner 765 Allens Ave, Providence, RI 02905-5443 2019-11-26
1659935070 Janine Pedersen Nurse Practitioner 593 Eddy Street, Apc Main, Providence, RI 02903 2019-05-01
1003383795 Phina A Mayu Nurse Practitioner 1 Randall Sq, Providence, RI 02904-2709 2018-10-31
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City PROVIDENCE
Zip Code 02906

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Dataset Information

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.

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