KATHLEEN CUNNINGHAM (NPI# 1730617531) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730617531 |
| Entity Type | Individual |
| Full Name | KATHLEEN CUNNINGHAM |
| Other Name | MRS. KATHLEEN CUNNINGHAM SMITH |
| Credential | PA-C |
| Practice Address |
10920 Mckinley Dr Tampa FL 33612-6471 |
| Mailing Address |
6616 S Kissimmee St Tampa FL 33616-1313 |
| Practice Telephone | 8317454673 |
| Mailing Telephone | (215) 514-3578 |
| Enumeration Date | 2017-05-24 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA9110378 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 11030 Rca Center Dr, Palm Beach Gardens, FL 334104276 | 5617767041 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396027009 | Kathleen Ann Cunningham | Physical Therapist | 4922 Trivet Dr N, Liverpool, NY 13088-5814 | 2011-09-20 |
| 1558927244 | Kathleen Cunningham | Speech-Language Pathologist | 47 E Grove St Ste 102, Middleboro, MA 02346-1816 | 2019-05-17 |
| 1467977629 | Kathleen Marie Cunningham | Counselor | 341 E 6th St, Long Beach, CA 90802-1402 | 2017-08-09 |
| 1881020998 | Kathleen C Cunningham | Pharmacist | 600 Highland Ave, Mc 2433, Madison, WI 53792-1530 | 2013-09-20 |
| 1104198985 | Kathleen Mary Cunningham | Social Worker | 9151 Estate Thomas, Suite 204, St Thomas, VI 00802-2617 | 2012-02-08 |
| 1043436025 | Kathleen Paige Cunningham | Social Worker | 3300 Pine Ave, Waco, TX 76708-3142 | 2007-04-18 |
| 1336130269 | Kathleen Ann Cunningham | Social Worker | 2550 Mosside Blvd, Suite 304, Monroeville, PA 15146 | 2005-10-31 |
| Street Address |
10920 MCKINLEY DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33612-6471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962560888 | Linda Marie Amanda De Zago | Nurse Practitioner | 10920 Mckinley Dr, Tampa, FL 33612-6471 | 2006-12-04 |
| 1407310790 | Emily John | Nurse Practitioner | 10920 Mckinley Dr, Tampa, FL 33612-6471 | 2019-01-30 |
| 1508348871 | Rhianna Alexis Reed | Physician Assistant | 10920 Mckinley Dr, Tampa, FL 33612-6471 | 2018-09-04 |
| 1265942924 | Ashley Nicole Culbreth | Physician Assistant | 10920 Mckinley Dr, Tampa, FL 33612-6471 | 2017-10-09 |
| 1285098954 | Amy Burke | Social Worker | 10920 Mckinley Dr, Tampa, FL 33612-6471 | 2016-04-08 |
| 1467841577 | Gina Corsanico | Nurse Practitioner | 10920 Mckinley Dr, Tampa, FL 33612-6471 | 2015-01-13 |
| 1841545423 | Aixa Soyano Muller | Internal Medicine | 10920 Mckinley Dr, Tampa, FL 33612-6471 | 2012-07-19 |
| 1740543362 | Christine Sam | Internal Medicine | 10920 Mckinley Dr, Tampa, FL 33612 | 2012-06-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689286767 | Daniel Jimenez | Physical Therapist | 13000 Bruce B Downs Blvd, Tampa, Fl, Tampa, FL 33612 | 2020-08-19 |
| 1700426830 | Taz Stacy | Behavior Technician | 2701 University Square Drive, Tampa, FL 33612 | 2020-01-07 |
| 1841853215 | Eric Austen Keeler | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd, Mdc5, Tampa, FL 33612 | 2019-04-20 |
| 1346700242 | Caitlyn Victoria Cartwright | Student in an Organized Health Care Education/Training Program | 12901 Bruce B. Downs Blvd., Mdc5, Tampa, FL 33612 | 2019-03-25 |
| 1720552953 | Marijo Bilitski | Student in an Organized Health Care Education/Training Program | 12901 Bruce B Downs Blvd # Blvd5, Tampa, FL 33612 | 2019-01-22 |
| 1790259190 | Belkis Aleman | Nurse Practitioner | 205 E Busch Blvd, Tampa, FL 33612 | 2019-01-18 |
| 1811469133 | Stephanie Stegner | Physician Assistant | 12901 Bruce B Downs Blvd Mdc 5, Tampa, FL 33612 | 2018-12-27 |
| 1053889857 | Alysia Heather Siegel | Psychologist | 1300 Bruce B. Downs Boulevard, 116b, Tampa, FL 33612 | 2018-11-09 |
| 1295202489 | Daisy Baby Pulinilkumkalayil | Nurse Practitioner | 1426 W. Bush Blvd. Suite #105, Suite #105, Tampa, FL 33612 | 2018-10-26 |
| 1649745258 | Rachel Rene Shelton | Specialist/Technologist | Orthopedics and Sports Medicine, 13330 Usf Laurel Drive, Tampa, FL 33612 | 2018-10-10 |
| Find all providers in zip 33612 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356941504 | Kelsey Alexandra Leon | Physician Assistant | 5033 W Laurel St, Tampa, FL 33607-3855 | 2020-10-27 |
| 1144839796 | Alana Marie Arcese | Physician Assistant | 10401 Villa View Cir, Tampa, FL 33647-2598 | 2020-07-29 |
| 1437768512 | Jessica Lynn Flores-mcgrath | Physician Assistant | 14411 Audubon Trce Apt 912, Tampa, FL 33613-5402 | 2020-07-24 |
| 1417574104 | Hunter Vila | Physician Assistant | 5033 W Laurel St Ste 100, Tampa, FL 33607-3855 | 2020-06-29 |
| 1003432360 | Jennifer Rose Baker Koebert | Physician Assistant | 4001 E Fletcher Ave Fl 6, Tampa, FL 33613-4808 | 2020-06-23 |
| 1487277109 | Victoria Mahi Verzwyvelt | Physician Assistant | 4714 N Habana Ave Apt 510, Tampa, FL 33614-7126 | 2020-05-28 |
| 1538780853 | Lexy Hazle | Physician Assistant | 2715 W Mississippi Ave, Tampa, FL 33629-6131 | 2020-04-27 |
| 1619509494 | Amy Sullinger | Physician Assistant | 207 S Occident St, Tampa, FL 33609-2526 | 2020-02-10 |
| 1225668122 | Michelle Korthauer | Physician Assistant | 1531 W Lemon St Apt 1101, Tampa, FL 33606-1014 | 2020-01-20 |
| 1992344360 | Marisa Ehrlich Berger | Physician Assistant | 311 W Idlewild Ave, Tampa, FL 33604-6656 | 2020-01-02 |
| Find all providers in TAMPA | ||||
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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.