TAWANA CUNNINGHAM (NPI# 1841674009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841674009 |
| Entity Type | Individual |
| Full Name | TAWANA CUNNINGHAM |
| Practice Address |
38429 Lake Shore Blvd Willoughby OH 44094-7009 |
| Practice Telephone | 4409469200 |
| Practice Fax Number | 4409461000 |
| Mailing Telephone | 4409469200 |
| Mailing Fax Number | 4409461000 |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2015-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
COA.17643-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
38429 LAKE SHORE BLVD |
| City | WILLOUGHBY |
| State | OH |
| Zip Code | 44094-7009 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578548962 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2005-12-08 |
| 1225318330 | Leah Sopko | Nurse Practitioner | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2011-08-19 |
| 1194802454 | Winston Ho | Internal Medicine | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-11-01 |
| 1154408490 | James Mandelik | Pediatrics | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-11-01 |
| 1366479693 | Laura Lee Frycklund | Nurse Practitioner | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-06-26 |
| 1891751657 | Erieside Medical Group | Internal Medicine | 38429 Lake Shore Blvd, Willoughby, OH 44094-7009 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574367 | Bj's Wholesale Club Inc. | Eyewear Supplier (Equipment, not the service) | 36596 Euclid Ave, Willoughby, OH 44094 | 2020-09-25 |
| 1679111322 | Megan King | Nurse Practitioner | 4078 Erie Street, Unit B, Willoughby, OH 44094 | 2019-12-12 |
| 1124661525 | Mind and Body Infusion Therapies, LLC | Clinic/Center | 9264 Chillicothe Rd., Unit #2, Kirtland, OH 44094 | 2019-10-18 |
| 1679125637 | Christina Maria Chandler | Family Medicine | 39021 Signature Circle, Willoughby, OH 44094 | 2019-07-10 |
| 1467920595 | Rachel Curry | Specialist/Technologist | 53400 Euclid Ave., Apt. E-102, Willoughby, OH 44094 | 2018-11-07 |
| 1437649753 | Katie Lauren Greenaway | Registered Nurse | 5103 Robinhood Dr, Willoughby, OH 44094 | 2018-05-11 |
| 1003346131 | Heather Marie Hayes | Licensed Practical Nurse | 38882 Mentor Ave., Willoughby, OH 44094 | 2017-06-12 |
| 1609305028 | Ann Marie Mason | Counselor | 38882 Mentor Avenue, Willoughby, OH 44094 | 2017-06-08 |
| 1285173005 | Mattie Diann Towns-scott | Social Worker | 34950 Chardon Road, Bldg 2, Suite 210, Willoughby Hills, OH 44094 | 2017-02-13 |
| 1447797329 | Therese Benz | General Acute Care Hospital | 96000 Euclid Ave., Willoughby, OH 44094 | 2017-01-30 |
| Find all providers in zip 44094 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518495316 | Tina Koval | Nurse Practitioner | 37418 Euclid Ave Apt 102, Willoughby, OH 44094-5651 | 2017-05-24 |
| 1215224605 | Courtney Ann Hunsicker | Nurse Practitioner | 36100 Euclid Ave Ste 400, Willoughby, OH 44094-4429 | 2011-07-06 |
| 1093273138 | April Debiasi | Nurse Practitioner | 35900 Euclid Ave, Willoughby, OH 44094-4623 | 2019-03-07 |
| 1649711870 | Sabina Sibi | Nurse Practitioner | 36100 Euclid Ave, #350, Willoughby, OH 44094-4456 | 2017-03-20 |
| 1154733533 | Shewanna K Burns | Nurse Practitioner | 37603 Euclid Ave, Willoughby, OH 44094-5923 | 2014-05-20 |
| 1174963235 | Kristan J. Bryant | Nurse Practitioner | 36100 Euclid Ave, Suite 400, Willoughby, OH 44094-4456 | 2013-07-03 |
| 1356619068 | Nadira Zrikem | Nurse Practitioner | 36000 Euclid Ave, Willoughby, OH 44094-4625 | 2011-12-08 |
| 1497056642 | Amy Marie Livingston | Nurse Practitioner | 4176 State Route 306, Willoughby, OH 44094-9203 | 2010-11-04 |
| 1194054676 | Tatyana Alex Fernand | Nurse Practitioner | 34940 Ridge Rd, Suite B, Willoughby, OH 44094-4196 | 2009-12-13 |
| 1972737443 | Kim Anne Delisio | Nurse Practitioner | 36000 Euclid Ave, Anticoagulation Clinic, Willoughby, OH 44094-4625 | 2009-05-12 |
| Find all providers in WILLOUGHBY | ||||
| City | WILLOUGHBY |
| Zip Code | 44094 |
Please comment or provide details below to improve the information on TAWANA 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.