MR. THOMAS ELIAS CUNNINGHAM (NPI# 1578780946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578780946 |
| Entity Type | Individual |
| Full Name | MR. THOMAS ELIAS CUNNINGHAM |
| Credential | ARNP, BC |
| Practice Address |
4253 N Crossover Rd Fayetteville AR 72703-4593 |
| Mailing Address |
14801 Park Ridge Drive Lowell AR 72745 |
| Practice Telephone | 4795215731 |
| Practice Fax Number | 4794422563 |
| Mailing Telephone | 4792956325 |
| Enumeration Date | 2007-04-19 |
| Last Update Date | 2017-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
A03250 | AR | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0057700 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OK | 200109330A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275181141 | Thomas J Cunningham | Homemaker | 1635 Clairtonica St, Pittsburgh, PA 15205-3533 | 2019-09-03 |
| 1053427104 | Thomas Joseph Cunningham | Optometrist | 92 Chesterfield Mall, Chesterfield, MO 63017-4808 | 2006-08-22 |
| 1700812799 | Thomas J Cunningham Jr. | Obstetrics & Gynecology | 23845 Holman Hwy Ste 227, Monterey, CA 93940-5901 | 2006-06-23 |
| 1134174832 | Thomas G Cunningham | Optometrist | 138 W Chicago Blvd, Tecumseh, MI 49286 | 2006-05-23 |
| 1245208115 | Thomas Moffatt Cunningham IIi | Radiology | 9020 Overlook Blvd, Suite 150, Brentwood, TN 37027-3259 | 2006-03-08 |
| 1548246325 | Thomas Cunningham Jr. | Anesthesiology | 312 Amelia Dr, El Paso, TX 79912-4810 | 2005-12-22 |
| 1821084542 | Thomas Cunningham | Internal Medicine | 15 Milton Avenue, North Creek, NY 12853-0000 | 2005-09-27 |
| 1568457430 | Thomas Neal Cunningham | Chiropractor | 2204 Edgemere Dr, Plainview, TX 79072-3754 | 2005-09-15 |
| 1023011855 | Thomas Alan Cunningham | Dentist | 11775 Pointe Pl, Ste 102, Roswell, GA 30076-4652 | 2005-05-24 |
| 1982191136 | Thomas J Cunningham II | Student in an Organized Health Care Education/Training Program | 817 Princeton Ave Sw Ste 106, Birmingham, AL 35211-1340 | 2018-04-13 |
| Street Address |
4253 N CROSSOVER RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689617417 | Norman I Snyder | Psychiatry & Neurology | 4253 N Crossover Rd, Suite 2, Fayetteville, AR 72703-4593 | 2006-06-13 |
| 1770184228 | Eleanor Mcdonald | Pharmacist | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2020-11-02 |
| 1891346664 | Miriam Elyse Koesy | Nurse Practitioner | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2019-09-24 |
| 1760965008 | Jessica Musgrove | Nurse Practitioner | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2018-09-12 |
| 1790282879 | Aprn Medical LLC | Clinic/Center | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2018-04-06 |
| 1578064812 | Kaley Md Mhs Inc | Psychiatry & Neurology | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2018-02-22 |
| 1811418403 | Courtenay Gillett | Behavior Technician | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2017-07-05 |
| 1225559966 | Breanna Noelle Hutchings | Behavior Technician | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2017-07-03 |
| 1992225072 | Jack Bowen Gillison | Case Manager/Care Coordinator | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2017-06-21 |
| 1659800092 | Angela Kay Thompson-neeser | Case Manager/Care Coordinator | 4253 N Crossover Rd, Fayetteville, AR 72703 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477189157 | Fatimat Olumayowa Olufunmilayo Agbojeyin | Nurse Practitioner | 105 Emerald Lake Ct, Fayetteville, GA 30215-7748 | 2020-03-13 |
| 1548821069 | Asic Behavioral Health, Pllc | Nurse Practitioner | 6977 Nexus Ct Ste 103, Fayetteville, NC 28304-2651 | 2019-06-25 |
| 1245794387 | Stacey Lasandra Mitchell | Nurse Practitioner | 1415 Highway 85 N Ste 310-390, Fayetteville, GA 30214-7738 | 2019-01-23 |
| 1417206491 | Casey J Scott | Nurse Practitioner | 4001 Cumberland Rd, Fayetteville, NC 28306-6703 | 2012-09-05 |
| 1972510519 | Melodie W. Stembridge | Nurse Practitioner | 1100 No. College Avenue, Vhsa, Fayetteville, AR 72703 | 2006-08-02 |
| 1053313536 | Margaret Jean Davis | Nurse Practitioner | 4276 Legend Avenue, Fayetteville, NC 28303-3497 | 2005-08-15 |
| 1811517469 | Ifeoma Nnani | Nurse Practitioner | 2300 Ramsey St, Fayetteville, NC 28301-3856 | 2020-04-23 |
| 1497380414 | Andrew Eisele | Nurse Practitioner | 1955 W Truckers Dr, Fayetteville, AR 72704-5637 | 2020-03-10 |
| 1417582545 | Latoya Harley-dowden | Nurse Practitioner | 806 Hay St, Fayetteville, NC 28305-5312 | 2020-03-09 |
| 1104459114 | Stephanie Bohannon | Nurse Practitioner | 112 W Center St Ste 201, Fayetteville, AR 72701-6073 | 2020-02-18 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
Please comment or provide details below to improve the information on MR. THOMAS ELIAS CUNNINGHAM.
| 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.