SHANNON M CUNNINGHAM (NPI# 1275524423) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275524423 |
| Entity Type | Individual |
| Full Name | SHANNON M CUNNINGHAM |
| Credential | CRNA |
| Practice Address |
8501 Arlington Blvd Suite 550 Fairfax VA 22032-4625 |
| Mailing Address |
Po Box 71230 Philadelphia PA 19176-6230 |
| Practice Telephone | 7038105219 |
| Practice Fax Number | 7038105406 |
| Mailing Telephone | 7033836469 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2012-01-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | R083823 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| DC | CAREFIRST BCBS | S417-0011 | 01 |
| MD | RR MEDICARE | 430074296 | 01 |
| MD | 4191757 00 | 05 | |
| MD | CAREFIRST BCBS | KBC1CH | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316413677 | Shannon Kathleen Cunningham | Registered Nurse | 4304 N 33rd St, Omaha, NE 68111-2748 | 2018-10-15 |
| 1548551351 | Shannon Cedell Cunningham | Social Worker | 1568 Old Ford Rd, New Albany, IN 47150 | 2011-04-27 |
| 1770681173 | Shannon Carol Cunningham | Dentist | 7430 80th St S, Suite 202, Cottage Grove, MN 55016-3035 | 2006-09-20 |
| 1164037719 | Shannon Cunningham | Student in an Organized Health Care Education/Training Program | 900 Ship Pond Rd, Plymouth, MA 02360-1849 | 2020-09-10 |
| Street Address |
8501 ARLINGTON BLVD SUITE 550 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22032-4625 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043211006 | Medical Oncology and Hematology Assoc of Northern Virginia | Internal Medicine | 8501 Arlington Blvd, Suite 340, Fairfax, VA 22031-4617 | 2005-08-02 |
| 1215573860 | Emilie Ann Smith | Obstetrics & Gynecology | 8501 Arlington Blvd, Suite 500, Fairfax, VA 22031-4631 | 2019-11-19 |
| 1164974325 | Rebecca M Hindman | Advanced Practice Midwife | 8501 Arlington Blvd, Suite 300, Fairfax, VA 22031-4617 | 2016-11-03 |
| 1548715154 | Melissa Nicole Womble | Clinical Neuropsychologist | 8501 Arlington Blvd, Fairfax, VA 22031-4617 | 2016-08-24 |
| 1235581935 | Meghan Martin | Nurse Practitioner | 8501 Arlington Blvd, Suite #330, Fairfax, VA 22031-4617 | 2016-07-06 |
| 1164887352 | Esther Chou | Specialist/Technologist | 8501 Arlington Blvd, Ste. 200, Fairfax, VA 22031-4617 | 2015-12-15 |
| 1336558592 | Kimberly Kelshian | Occupational Therapist | 8501 Arlington Blvd, Suite 400, Fairfax, VA 22031-4617 | 2014-08-12 |
| 1821402959 | Samantha M Skeen | Physician Assistant | 8501 Arlington Blvd, Suite 330, Fairfax, VA 22031-4617 | 2014-06-17 |
| 1649697848 | Jennifer Truax | Nurse Practitioner | 8501 Arlington Blvd, #300, Fairfax, VA 22031-4617 | 2014-03-25 |
| 1790108744 | Brett Gustman | Specialist/Technologist | 8501 Arlington Blvd, Suite #200, Fairfax, VA 22031-4617 | 2014-01-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093193567 | Cynthia Leigh Pascal | Counselor | 9801 Joyce Street, Fairfax, VA 22032 | 2015-05-15 |
| 1760888432 | Judy Lim | Massage Therapist | 4205 Olley Ln, Fairfax, VA 22032 | 2014-11-07 |
| 1083015010 | Caring Heart Nursing Services LLC | Registered Nurse | 4824 Gainsborough Dr, Fairfax, VA 22032 | 2014-09-09 |
| 1033483839 | Inovacares for Seniors | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2012-02-27 |
| 1598032716 | Joshua Michael Prozeralik | Pharmacist | 10310 New Guinea Road, Burke, VA 22032 | 2011-11-17 |
| 1356570071 | Azmy A. Iskander | Emergency Medicine | 10520 Acacia Lane, Fairfax, VA 22032 | 2009-07-02 |
| 1851515175 | The Pediatric Group, PC | Registered Nurse | 10527 Braddock Road, Fairfax, VA 22032 | 2007-04-11 |
| 1770634313 | Andrea L Lubeck | Nurse Practitioner | 10301 New Guinea Road, Cvs Health, Minuteclinic, Fairfax, VA 22032 | 2007-01-12 |
| 1104167212 | Inova Health Care Services | PACE Provider Organization | 4027b Olley Lane, Braddock Glen, Fairfax, VA 22032 | 2013-03-14 |
| 1770835993 | Catherine A Groden | Nurse Practitioner | 10301 New Guinea Rd, Target, Fairfax, VA 22032 | 2012-10-11 |
| Find all providers in zip 22032 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487011532 | Ysabel Pelaez | Nurse Anesthetist, Certified Registered | 8225 Adenlee Ave, Apt 10, Fairfax, VA 22031-4825 | 2016-01-20 |
| 1912321910 | Alyson Huber | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr., Fairfax, VA 22033 | 2014-02-11 |
| 1992037741 | Ronald L Bridges | Nurse Anesthetist, Certified Registered | 3998 Fair Ridge Drive, Ste. #300, Suite 402, Fairfax, VA 22033 | 2010-02-04 |
| 1386680841 | Joan S Speed | Nurse Anesthetist, Certified Registered | 11240 Waples Mill Rd Ste 403, Fairfax, VA 22030-6078 | 2006-06-22 |
| 1447245733 | Eva C Abrenica | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Drive, Fair Oaks Hospital, Fairfax, VA 22033 | 2005-09-13 |
| 1407854250 | Maria Lucille Fain | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2005-07-14 |
| 1134633597 | Previtha Sanna Mathews | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2017-11-21 |
| 1295185643 | Caroline Sexson | Nurse Anesthetist, Certified Registered | 3600 Joseph Siewick Dr, Fairfax, VA 22033-1709 | 2016-06-16 |
| 1295181386 | Lindsey Catherine Marthy | Nurse Anesthetist, Certified Registered | 3300 Gallows Road, Fairfax, VA 22042 | 2016-05-09 |
| 1598130171 | Tyler Berch | Nurse Anesthetist, Certified Registered | 11781 Lee Jackson Memorial Hwy, #550, Fairfax, VA 22033-3309 | 2015-12-08 |
| Find all providers in FAIRFAX | ||||
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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.