Provider Demographics
NPI:1326929159
Name:CUNNINGHAM, CARAH ALEXIS (MS, RD, LD)
Entity type:Individual
Prefix:
First Name:CARAH
Middle Name:ALEXIS
Last Name:CUNNINGHAM
Suffix:
Gender:F
Credentials:MS, RD, LD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5219 JEAN DR
Mailing Address - Street 2:
Mailing Address - City:PINSON
Mailing Address - State:AL
Mailing Address - Zip Code:35126-3619
Mailing Address - Country:US
Mailing Address - Phone:205-500-0595
Mailing Address - Fax:
Practice Address - Street 1:5219 JEAN DR
Practice Address - Street 2:
Practice Address - City:PINSON
Practice Address - State:AL
Practice Address - Zip Code:35126-3619
Practice Address - Country:US
Practice Address - Phone:205-500-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL5051133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Single Specialty