Individual ProviderLavonne R CunninghamNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address1100 9th Ave, Seattle, WA 98101-1873(206) 223-6600(206) 515-5811PECOS EnrollmentBased on the most recent information from CMS, provider Lavonne R Cunningham does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1578530077Provider TypeIndividualFull NameCunningham, Lavonne RCredentialCRNAGenderFemaleSole ProprietorNoEnumeration Date3/2/2006Last Updated5/14/2020Contact InformationPractice LocationPractice Address1100 9th Ave, Seattle, WA 98101-1873Phone(206) 223-6600FaxUnlisted FaxMailing LocationMailing Address1100 9th Ave, Ms:M4-Pa, Seattle, WA 98101-2756Phone(206) 515-5811FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode367500000XPrimaryDescriptionNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing ProvidersLicenseAP30003827WashingtonProvider IdentifiersIDDescriptionIssuerID1631HODescriptionOtherIssuerINDIVIDUAL BLUE SHIELDWashingtonIDRNA0010DescriptionOtherIssuerALASKA DSHSWashingtonID9613001DescriptionMedicaidIssuerUnlistedWashington