PROF. ANGELIQUE LYNN CUNNINGHAM (NPI# 1396386827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396386827 |
| Entity Type | Individual |
| Full Name | PROF. ANGELIQUE LYNN CUNNINGHAM |
| Practice Address |
690 S Loop 336 W Ste 200 Conroe TX 77304-3320 |
| Mailing Address |
2204 Jefferson Crossing Dr Conroe TX 77304-6804 |
| Practice Telephone | 8322332270 |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2019-10-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
AP143324 | TX | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
690 S LOOP 336 W STE 200 |
| City | CONROE |
| State | TX |
| Zip Code | 77304-3320 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407855547 | Stephen L Mckernan | Family Medicine | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2005-07-20 |
| 1942850565 | Sam Houston State University | Clinic/Center | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2019-09-16 |
| 1588213565 | Jennifer Edeogu | Nurse Practitioner | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2019-09-11 |
| 1932677135 | Laura Kemp Montgomery | Registered Nurse | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2018-11-05 |
| 1619298247 | Townes R. Leigh Jr. | Family Medicine | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2010-06-17 |
| 1467555672 | Marianne Frances Moore | Advanced Practice Midwife | 690 S Loop 336 W Ste 200, Conroe, TX 77304-3320 | 2006-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194348649 | Neuropsychiatric Hospital of Greater Houston, LLC | Psychiatric Hospital | 1317 South Loop Road 336 West, Conroe, TX 77304 | 2020-05-19 |
| 1780148676 | Muve - Conroe Ambulatory Surgical Center, LLC | Clinic/Center | 1246 N Farm To Market 3083 Rd W, Conroe, TX 77304 | 2019-01-25 |
| 1922591411 | Bradley Leiker II | Dentist | 381 South Loop 336 West Suite 500, Conroe, TEXAS 77304 | 2018-06-11 |
| 1598266009 | Chapman Pain Consultants | Anesthesiology | 4015 I45 North, Suite 230-1, Conroe, TX 77304 | 2018-02-21 |
| 1063932366 | Jonathan Garcia | Specialist/Technologist | 1716 Summergate Drive, Conroe, TX 77304 | 2017-06-27 |
| 1932634169 | 3083 Imaging LLC | Clinic/Center | 1246 N Fm 3083 West, Conroe, TX 77304 | 2017-04-25 |
| 1881138758 | Bolt Urgent Care and Imaging Center, LLC | Clinic/Center | 1246 Fm 3083 West, Conroe, TX 77304 | 2016-12-13 |
| 1497106272 | The Rio At Conroe, LLC | Skilled Nursing Facility | 604 South Conroe Medical Drive, Conroe, TX 77304 | 2016-06-23 |
| 1093165615 | Melanie Kay Plaster | Behavioral Analyst | 2626 Silver Shadow, Conroe, TX 77304 | 2016-06-14 |
| 1508249798 | Conroe Willis Family Medicine, Pllc | Family Medicine | 4015 I 45 N Ste 220, Conroe, TX 77304 | 2015-07-07 |
| Find all providers in zip 77304 | ||||
| Taxonomy Code | 363LA2100X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Acute Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518236298 | Camela J Mcsween | Nurse Practitioner | 731 W Davis St, Conroe, TX 77301-2704 | 2011-12-24 |
| 1063560225 | Tina Cheryl Escoyne | Nurse Practitioner | 3600 Fm 1488 Rd Ste 200, Conroe, TX 77384-3867 | 2007-01-06 |
| 1932680105 | Autumn N. Lydick | Nurse Practitioner | 504 Medical Center Blvd Ste 300, Conroe, TX 77304-2808 | 2018-08-27 |
| 1760978167 | Jessica Bain | Nurse Practitioner | 500 Medical Center Blvd, Conroe, TX 77304-2889 | 2018-07-09 |
| 1366974842 | Virginia Diane Meyer | Nurse Practitioner | 245 Fm 1488 Rd, Apt 1548, Conroe, TX 77384-3983 | 2017-04-03 |
| 1962787721 | Talitha Lee Taylor | Nurse Practitioner | 2129 W Davis St, Conroe, TX 77304-1942 | 2011-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083215800 | Kellie Lynn Myers | Nurse Practitioner | 26015 Penguin St, Magnolia, TX 77355-6249 | 2020-11-06 |
| 1356942148 | Nina Nicole Totanes | Nurse Practitioner | 12709 Toepperwein Rd Ste 203, Live Oak, TX 78233-3259 | 2020-11-06 |
| 1841890415 | Glenda Kelley | Nurse Practitioner | 8902 W State Highway 56, Savoy, TX 75479-3460 | 2020-10-31 |
| 1184223786 | Vincy Saji Mathew | Nurse Practitioner | 8804 Viridian Ln, Fort Worth, TX 76123-4030 | 2020-10-23 |
| 1265030787 | Lissa Flory | Nurse Practitioner | 4679 Dreibrodt Rd, San Marcos, TX 78666-3388 | 2020-10-16 |
| 1235737941 | Barton Skinner | Nurse Practitioner | 17806 W I-10, Suite 300, San Antonio, TX 78257 | 2020-10-14 |
| 1972101897 | Biny Sam George | Nurse Practitioner | 7207 Baitland Dr, Missouri City, TX 77459-2035 | 2020-10-13 |
| 1285231282 | Nkechi I Carter | Nurse Practitioner | 1550 Katy Gap Rd Apt 1406, Katy, TX 77494-5878 | 2020-10-03 |
| 1770190753 | Julius Osabor Obianke | Nurse Practitioner | 1000 Fallon Dr, Mckinney, TX 75071-1210 | 2020-09-24 |
| 1740896315 | Mackenzie Brooks Jackson | Nurse Practitioner | 46 N Creekside Ct, Houston, TX 77055-7540 | 2020-09-19 |
| Find all providers with the same taxonomy | ||||
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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.