Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Elizabeth Cunningham

Individual provider Nurse Practitioner · NPI 1720747355

Holly Elizabeth Cunningham is a Nurse Practitioner in Park City, Utah. Qualified in 2021, 5 years ago. Practices with Oklahoma Pain Institute PLLC, a 3-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in Oklahoma and Utah.

Years since qualifying
5
Licensed in
OK, UT
In the registry since
2021
Specialties on file
3
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Practice location Address checks out

900 Round Valley Dr Ste 200
Park City, UT 84060-7552
Phone: (435) 658-7400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 4600 Se 29th St Ste 750, Del City, OK 73115-3407 — (405) 733-5900
  • 1716 N Highway 40 Ste 201, Heber City, UT 84032-4677 — (435) 709-4202

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 13077780-4405 (UT)
Nurse Practitioner Taxonomy 363L00000X · Licence 205777 (OK)
Family Nurse Practitioner Taxonomy 363LF0000X · Licence 205777 (OK)

Record details

NPI number1720747355
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 10, 2021
Last updated in NPPESNovember 11, 2025
Certification dateNovember 11, 2025
Mailing addressPo Box 27128, Salt Lake City, UT 84127-0128

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Oklahoma Pain Institute Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

Other providers in Park City