SUSAN ELISABETH CUNNINGHAM (NPI# 1932651007) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932651007 |
Entity Type | Individual |
Full Name | SUSAN ELISABETH CUNNINGHAM |
Credential | FNP-C |
Practice Address |
1255 Wallace Rd Nw Salem OR 97304-3007 |
Practice Telephone | 5033621314 |
Mailing Telephone | 5033621314 |
Enumeration Date | 2016-10-25 |
Last Update Date | 2016-10-25 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
201608738NP-PP | OR | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1043381502 | Susan Lynn Cunningham | Chiropractor | 4 Sherwood Rd, Levittown, NY 11756-1525 | 2006-11-13 |
1225480429 | Susan Lynn Cunningham | Dentist | 912 River St, Hyde Park, MA 02136-3715 | 2016-07-12 |
1114302775 | Susan Mae Cunningham | Counselor | 4230 Gardendale St Ste 601, San Antonio, TX 78229-3482 | 2015-07-24 |
1780932871 | Susan M Cunningham | Clinic/Center | 1200 W Hillcrest Dr, Thousand Oaks, CA 91320-2734 | 2012-08-21 |
1801169065 | Susan Cunningham | Pharmacist | 110 E Main St, Torrington, CT 06790-5429 | 2012-02-20 |
1124268206 | Susan Cunningham | Counselor | 3101 Fontaine Avenue Extended, Charlottesville, VA 22903-9618 | 2009-03-02 |
1710042296 | Susan Cunningham | Physical Therapist | 16 Hayden Ave, Lexington, MA 02421-7929 | 2006-12-26 |
1104997808 | Susan Cunningham | Speech-Language Pathologist | 8139 State Road 54, New Port Richey, FL 34655-3000 | 2006-11-13 |
1801991989 | Susan Kimberly Cunningham | Physical Therapist | 3900 Loch Raven Blvd, Baltimore, MD 21218-2108 | 2006-09-14 |
1790795557 | Susan Eileen Cunningham | Psychologist | 185 Lincoln St, Suite 210, Hingham, MA 02043-1760 | 2006-08-08 |
Street Address |
1255 WALLACE RD NW |
City | SALEM |
State | OR |
Zip Code | 97304-3007 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407854243 | Primary Care West, P.C. | Clinic/Center | 1255 Wallace Rd Nw, Salem, OR 97304-3007 | 2005-07-13 |
1790117257 | Serena Dawn Caldwell | Nurse Practitioner | 1255 Wallace Rd Nw, Salem, OR 97304-3007 | 2013-08-06 |
1447594965 | Alana Ann Bailey | Nurse Practitioner | 1255 Wallace Rd Nw, Salem, OR 97304-3007 | 2012-11-21 |
1619966801 | Elaine Mary Harlan | Nurse Practitioner | 1255 Wallace Rd Nw, Salem, OR 97304-3007 | 2005-10-19 |
1467440321 | Katie Ester Tihanyi | Family Medicine | 1255 Wallace Rd Nw, Salem, OR 97304-3007 | 2005-10-13 |
1558359406 | Laslo Emory Kolta | Internal Medicine | 1255 Wallace Rd Nw, Salem, OR 97304-3007 | 2005-10-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1114413010 | Sam Mackenzie Lane | Massage Therapist | 1661 Edgewater St Nw # 120, Salem, Or 97304, Salem, OR 97304 | 2018-07-03 |
1144761131 | Rachel E Carson | Physical Therapist | 1025 2nd St. Nw, West Salem, OR 97304 | 2017-03-10 |
1962951061 | Lee Ann Nail | Social Worker | 3965 Gibson Rd Nw, Salem, OR 97304 | 2016-09-29 |
1619421591 | Logan Walters | Physical Therapist | 1025 2nd St Nw, Salem, OR 97304 | 2016-08-09 |
1770941338 | Tysandra Gillis | Massage Therapist | 859 Mule Deer St., Salem, OR 97304 | 2016-02-10 |
1144620295 | Molly Rodden | Nurse Practitioner | 1174 Cornucopia St Nw Ste 240, Salem, OR 97304 | 2014-08-26 |
1881942126 | Cynthia Ruth Rettler | Registered Nurse | 1520 Plaza St Nw Ste 150, Salem, OR 97304 | 2012-08-16 |
1336401017 | Trillium Family Services | Community/Behavioral Health | 1520 Plaza Street Nw, Suite 100, Salem, OR 97304 | 2012-06-08 |
1033428198 | Kathleen Ketelson | Nurse Practitioner | 560 Wallace Rd Nw Ste 140, Salem, OR 97304 | 2010-10-06 |
1922332535 | Robert Scott Mcadam | Social Worker | 1245 Edgewater St. Nw, Salem, OR 97304 | 2009-09-29 |
Find all providers in zip 97304 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285247908 | Tracy Jean Payton | Nurse Practitioner | 3898 Lee Road 250, Salem, AL 36874-1450 | 2020-08-24 |
1437775137 | Krista Michelle Brinkerhoff | Nurse Practitioner | 636 N 220 E, Salem, UT 84653-5553 | 2020-06-18 |
1851913271 | Rossiel Pita-roman | Nurse Practitioner | 25 Oak Ridge Ave Apt 10, Salem, NH 03079-4480 | 2020-05-07 |
1487292157 | Kelly Daily Morris | Nurse Practitioner | 5915 Port Stewart Ct Se, Salem, OR 97306-9034 | 2019-12-12 |
1174087985 | Brenda Gott | Nurse Practitioner | 3103 Hh Highway, Salem, MO 65560 | 2019-01-25 |
1992277594 | Shelisa Rena Taylor | Nurse Practitioner | 1126 Lee Road 250, Salem, AL 36874-1373 | 2018-12-19 |
1811472426 | Kathryn B Powell | Nurse Practitioner | 400 Highland Ave Ste 1, Salem, MA 01970-1783 | 2018-09-28 |
1609367077 | Jennifer Turner | Nurse Practitioner | 225 Sunbridge Drive, Salem, WV 26426 | 2018-05-22 |
1174042535 | Elizabeth Keane | Nurse Practitioner | 9 Riverbank Rd, Salem, MA 01970-5311 | 2017-09-15 |
1346766292 | Scott Adam Pasquale | Nurse Practitioner | 331r Highland Ave, Salem, MA 01970-1738 | 2017-08-22 |
Find all providers in SALEM |
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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.