PROF. KENDRA CELESTE CUNNINGHAM (NPI# 1861697187) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861697187 |
| Entity Type | Individual |
| Full Name | PROF. KENDRA CELESTE CUNNINGHAM |
| Credential | LPN, MA |
| Practice Address |
1243 Pine St Augusta GA 30901-3334 |
| Mailing Address |
512 Weatherly Dr Stone Mountain GA 30083 |
| Practice Telephone | 6788878706 |
| Mailing Telephone | 6788878706 |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-07-20 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 077864 | GA | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023407921 | Kendra Cunningham | Developmental Therapist | 500 Fairway Dr, Ste. 102, Deerfield Beach, FL 33441-1814 | 2015-01-15 |
| Street Address |
1243 PINE ST |
| City | AUGUSTA |
| State | GA |
| Zip Code | 30901-3334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669080313 | Diamond and Pearls Affiliates L.L.C. | Lodging | 1243 Pine St, Augusta, GA 30901-3334 | 2020-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477019925 | Courtney Erin Fairchild | Physician Assistant | 1101 15th Street, Pa-224, Augusta, GA 30901 | 2019-02-20 |
| 1699263921 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1022 Walton Way Spc C, Augusta, GA 30901 | 2018-04-23 |
| 1235684192 | Heather Raborn | Allergy & Immunology | 1350 Walton Way Ste 5100, Augusta, GA 30901 | 2016-08-22 |
| 1457690745 | Rehab Without Walls, Inc. | In Home Supportive Care | 820 St Sebastin Way Se, Augusta, GA 30901 | 2013-02-06 |
| 1861788051 | Christina Weidner Belcher | Physical Therapist | 1246 Pine St, Augusta, GA 30901 | 2011-06-25 |
| 1750695979 | C H Martin Company | Durable Medical Equipment & Medical Supplies | 1456 Walton Way Suite B, Augusta, GA 30901 | 2010-07-29 |
| 1366773905 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 4027 Wheeler Rd, Augusta, GA 30901 | 2010-01-21 |
| 1851622484 | Csb of East Central Ga | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 1715 Forest Drive, Augusta, GA 30901 | 2010-01-21 |
| 1760615280 | Absolute Family PCh | Point of Service | 2035 Old Savannah Rd., Augusta, GA 30901 | 2009-09-01 |
| 1073740643 | Ryan J Altenburg | Internal Medicine | 820 Saint Sebastian Way Ste 8a, Augusta, GA 30901 | 2009-06-22 |
| Find all providers in zip 30901 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: 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 |
|---|---|---|---|---|
| 1730709866 | Michelle Gonzalez | Licensed Practical Nurse | 7906 N 39th St, Augusta, MI 49012-9714 | 2020-04-18 |
| 1104215565 | Valerie Louise Potter | Licensed Practical Nurse | 4928 Ford Hill Road, Augusta, WV 26704 | 2015-01-22 |
| 1407129448 | Kimberly R Garcia | Licensed Practical Nurse | 3902 Creekwood Ln, Augusta, GA 30907-2422 | 2012-02-22 |
| 1144593906 | Terence Alan Dunavan | Licensed Practical Nurse | 1506 Pendleton Rd, Augusta, GA 30904-4840 | 2012-02-09 |
| 1861790891 | Tina Maria Mays | Licensed Practical Nurse | Hc 71 Box 115m, Augusta, WV 26704 | 2011-02-28 |
| 1922235076 | Day Break Medical Resource Group | Licensed Practical Nurse | 4349 White Pine Ct, Augusta, GA 30906-8122 | 2009-06-16 |
| 1841448024 | Kenya Cook Jones | Licensed Practical Nurse | 1 Freedom Way # 5, Augusta, GA 30904-6258 | 2008-08-31 |
| 1760654826 | Shirlene Demetra Williams | Licensed Practical Nurse | 2545 Sandra Dr, Augusta, GA 30906-2843 | 2008-03-29 |
| 1053498550 | Arnita F. Thomas | Licensed Practical Nurse | 2420 Windsor Spring Rd, Augusta, GA 30906-4668 | 2006-11-01 |
| 1487271318 | Wendel Mcmillan | Licensed Practical Nurse | 3121 Peach Orchard Rd, Augusta, GA 30906-3521 | 2020-06-26 |
| Find all providers in AUGUSTA | ||||
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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.