JESSICA JEAN CUNNINGHAM (NPI# 1770889669) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770889669 |
| Entity Type | Individual |
| Full Name | JESSICA JEAN CUNNINGHAM |
| Credential | RN, LPN |
| Practice Address |
30286 Fox Run Rd Stacy MN 55079-9653 |
| Practice Telephone | 6512693362 |
| Mailing Telephone | 6512693362 |
| Enumeration Date | 2011-02-10 |
| Last Update Date | 2011-02-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R 199450-0 | MN | Nursing Service Providers |
| N | 164W00000X | Licensed Practical Nurse | L 067912-7 | MN | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053784439 | Jessica Cunningham | Licensed Practical Nurse | 30 Malcolm Way, Riverhead, NY 11901-5204 | 2015-11-05 |
| 1922340827 | Jessica Cunningham | Occupational Therapy Assistant | 97 Wampum Rd, Narragansett, RI 02882-1621 | 2013-03-19 |
| 1952915712 | Jessica Stinnett Cunningham | Behavior Technician | 693 Leesville Rd, Lynchburg, VA 24502-2828 | 2020-08-31 |
| 1699328203 | Jessica Lynn Cunningham | Social Worker | 36 Cordage Park Cir, Plymouth, MA 02360-7331 | 2019-07-23 |
| 1760988984 | Jessica Cunningham | Speech-Language Pathologist | 6508 Gunn Hwy, Tampa, FL 33625-4022 | 2018-04-05 |
| 1225580673 | Jessica Nicole Cunningham | Physical Therapist | 100 N Florida St Ste 31, Mobile, AL 36607-3010 | 2016-11-02 |
| 1982078234 | Jessica Cunningham | Counselor | 3200 Juanipero Way, Medford, OR 97504-8580 | 2015-11-24 |
| 1366847634 | Jessica Cunningham | Social Worker | 1301 5th Ave, New York, NY 10029-3119 | 2014-10-29 |
| 1417362369 | Jessica Cunningham | Pediatrics | 1 Childrens Way # 653, Little Rock, AR 72202-3500 | 2014-06-29 |
| 1033534367 | Jessica Cunningham | Case Manager/Care Coordinator | 439 Sw Michigan St, Lake City, FL 32025-0440 | 2014-02-24 |
| Street Address |
30286 FOX RUN RD |
| City | STACY |
| State | MN |
| Zip Code | 55079-9653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700188216 | Kenneth Neil Mcdonnell Jr. | Counselor | 31065 Forrest Blvd, Stacy, MN 55079 | 2010-12-03 |
| 1114070406 | Corrie Joesph Peltier | Substance Abuse Rehabilitation Facility | 31065 Forest Blvd., Stacy, MN 55079 | 2007-01-19 |
| 1437270956 | Cynthia A Gervais | Music Therapist | 8251 N Fawn Lake Rd Ne, Stacy, MN 55079-3201 | 2007-04-02 |
| 1528269669 | Diagnostic Solutions | Clinic/Center | 33289 Forest Blvd, Stacy, MN 55079-4530 | 2007-05-29 |
| 1932475647 | Applied Care Services, Inc | Community/Behavioral Health | 5450 327th St, Stacy, MN 55079-5016 | 2012-03-27 |
| 1104360551 | Christine Trejo-monson | Registered Nurse | 23370 Cornell St, Stacy, MN 55079-5032 | 2016-12-05 |
| 1770624256 | Foundations Group of Mn, Inc | Home Health | 31100 Forest Blvd, Bldg B, Stacy, MN 55079-9247 | 2007-02-09 |
| 1689034910 | Bourdeaux Psychological Services | Psychologist | 4425 311th St, Stacy, MN 55079-9299 | 2016-02-29 |
| 1154704526 | Lynette Hopkins | Occupational Therapy Assistant | 23444 Typo Creek Dr Ne, Stacy, MN 55079-9347 | 2015-07-03 |
| 1457693962 | Melissa Faye Moran | Social Worker | 22625 E Martin Lake Dr Ne, Stacy, MN 55079-9376 | 2013-03-22 |
| Find all providers in zip 55079 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104360551 | Christine Trejo-monson | Registered Nurse | 23370 Cornell St, Stacy, MN 55079-5032 | 2016-12-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870825 | Eyita Gaga | Registered Nurse | 848 2nd St Nw, Rochester, MN 55901-2773 | 2020-10-28 |
| 1841899150 | Sarah Nyandoro | Registered Nurse | 10635 Pond Curv, Woodbury, MN 55129-5810 | 2020-10-19 |
| 1679180988 | Louise Dybdahl | Registered Nurse | 1460 Montreal St Se, Hutchinson, MN 55350-3318 | 2020-09-30 |
| 1932716461 | Krista Ann Donabauer | Registered Nurse | 13620 302nd Ave Nw, Princeton, MN 55371-3728 | 2020-09-29 |
| 1427664721 | Casi Marie Short | Registered Nurse | 629 Eastgate Pkwy, Mahtomedi, MN 55115-1737 | 2020-09-22 |
| 1518572908 | Shannon Walsten | Registered Nurse | 216 Emory Ln Se, Rochester, MN 55904-8479 | 2020-09-11 |
| 1427663970 | Sheena Marie Fawn Buchholtz | Registered Nurse | 14962 Hillside Trl, Savage, MN 55378-3629 | 2020-09-11 |
| 1700490679 | Sophia Alexandra Erdahl | Registered Nurse | 15380 Cottonwood St Nw, Andover, MN 55304-8503 | 2020-09-08 |
| 1083228076 | Briann Minnig | Registered Nurse | 8116 158th St, Savage, MN 55378-6608 | 2020-09-07 |
| 1104430180 | Patience K Nixon | Registered Nurse | 1955 153rd Ln Nw, Andover, MN 55304-2591 | 2020-09-07 |
| 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.