DEBRA CUNNINGHAM (NPI# 1265418933) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265418933 |
| Entity Type | Individual |
| Full Name | DEBRA CUNNINGHAM |
| Credential | CNM, CWHNP |
| Practice Address |
4 Memorial Dr Ste 230 Alton IL 62002-6751 |
| Mailing Address |
670 Mason Ridge Center Dr Ste 300 Saint Louis MO 63141-8573 |
| Practice Telephone | 6184336410 |
| Practice Fax Number | 6184336420 |
| Mailing Telephone | 6184336410 |
| Mailing Fax Number | 6184336420 |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2016-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
209005475 | IL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4 MEMORIAL DR STE 230 |
| City | ALTON |
| State | IL |
| Zip Code | 62002-6751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669460655 | Rafael De La Cruz | Internal Medicine | 4 Memorial Dr, 1st Floor, Alton, IL 62002-6751 | 2005-10-12 |
| 1114460995 | Laura L Brandenburg | Nurse Practitioner | 4 Memorial Dr, Ste 230b, Alton, IL 62002-6751 | 2016-11-28 |
| 1417372772 | Mary Stuart | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2014-02-24 |
| 1750716726 | Lyndsi K Sievers | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2013-09-10 |
| 1386989549 | Casey Newgent | Physician Assistant | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2012-11-29 |
| 1457624108 | Brianna Phillips | Social Worker | 4 Memorial Dr, Alton, IL 62002-6705 | 2012-02-10 |
| 1962713073 | Dawn Nicole Talbert | Family Medicine | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2010-06-24 |
| 1295998748 | Olusegun Adebayo Coker | Family Medicine | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2008-07-04 |
| 1841461134 | Aaron Patrick Omotola | Orthopaedic Surgery | 4 Memorial Dr, Ste 130b, Alton, IL 62002-6751 | 2008-03-14 |
| 1104026707 | Christopher Ryan Aldridge | Surgery | 4 Memorial Dr, Ste 230, Alton, IL 62002-6751 | 2007-07-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285272807 | Jersey Community Hospital | Obstetrics & Gynecology | #2 Memorial Drive, Suite 203, Alton, IL 62002 | 2019-12-13 |
| 1912540659 | Kelsi N Harre | Community Health Worker | 2603 N. Rogers Ave., Alton, IL 62002 | 2019-10-25 |
| 1841848322 | Destiny L Miller | Technician | 3429 Meridocia St, Alton, IL 62002 | 2019-08-28 |
| 1942854633 | Jessica Leigh Jump | Speech-Language Pathologist | 453 Bluff Street, Alton, IL 62002 | 2019-07-30 |
| 1194380741 | Vasiliki Kytridou | Dentist | 2800 College Avenue Southern Il University School of De, Building 285, Alton, IL 62002 | 2019-05-08 |
| 1982125910 | Amy Nicole Spalding | Social Worker | 1123 Harrison St, Alton, IL 62002 | 2017-06-29 |
| 1962856310 | Patricia Gregory | Social Worker | 5090 Humbert Rd, Alton, IL 62002 | 2016-04-21 |
| 1447612510 | Alanna Lynn Mcnelly | Chiropractor | 219 Piasa St, Suite 200, Alton, IL 62002 | 2016-03-28 |
| 1174983050 | Roberta's Lovely Ladies Boutique | Mastectomy Fitter | 603 W. Delmar, Alton, IL 62002 | 2016-03-04 |
| 1184081556 | Darcy Graham | Nurse Practitioner | 4 Memorial Dr # 210, Alton, IL 62002 | 2016-01-15 |
| Find all providers in zip 62002 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326507195 | Melissa Rae Mitchell | Nurse Practitioner | 1 Professional Dr Ste 150, Alton, IL 62002-5070 | 2019-03-19 |
| 1356377568 | Southern Illinois Healthcare Foundation, Inc | Nurse Practitioner | 2 Memorial Dr, Suite 122, Alton, IL 62002-6723 | 2006-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407455306 | Megan Bishoff | Nurse Practitioner | 880 W Central Rd Ste 6200, Arlington Heights, IL 60005-2378 | 2020-10-21 |
| 1881292019 | Dana Beth Yednock | Nurse Practitioner | 1444 E Broadway St, Streator, IL 61364-2535 | 2020-10-10 |
| 1154959864 | Jennifer Marie Nieves | Nurse Practitioner | 34 E Oak St Ste 6, Chicago, IL 60611-1231 | 2020-03-29 |
| 1093340275 | Nicole Price | Nurse Practitioner | 3717 N Ravenswood Ave Ste 213, Chicago, IL 60613-4098 | 2020-03-07 |
| 1497318372 | Rachael Elizabeth Thomas | Nurse Practitioner | 333 S Desplaines St Ste 201, Chicago, IL 60661-5514 | 2019-04-17 |
| 1700358025 | Cassandra Marie Johnson | Nurse Practitioner | 636 Hampshire St Ste 201, Quincy, IL 62301-3054 | 2018-12-27 |
| 1063990588 | Lisa Hammons | Nurse Practitioner | 14470 S La Grange Rd, Orland Park, IL 60462-2630 | 2018-08-06 |
| 1750874459 | Valerie Wezran | Nurse Practitioner | 3 Ontario St Apt 1, Oak Park, IL 60302-2573 | 2018-06-08 |
| 1033626262 | Heather Ann San Juan | Nurse Practitioner | 613 S Poplar Ave, Elmhurst, IL 60126-4061 | 2018-01-09 |
| 1124530340 | Kristy Wienstroer | Nurse Practitioner | 1191 Fortune Blvd, Shiloh, IL 62269-7377 | 2017-10-27 |
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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.