KATHLEEN CULLEN (NPI# 1588676985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588676985 |
| Entity Type | Individual |
| Full Name | KATHLEEN CULLEN |
| Credential | PA |
| Practice Address |
21202 Olean Blvd C1 Port Charlotte FL 33952-6751 |
| Practice Telephone | 9413915495 |
| Practice Fax Number | 9418759875 |
| Mailing Telephone | 9413915495 |
| Mailing Fax Number | 9418759875 |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2016-05-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA0002743 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | E1089T | 01 |
| FL | MEDICARE PTAN | E1089S | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407171754 | Kathleen G Cullen | Specialist | 19800 Touchmark Way, Cliff Lodge, Business Ste. #3, Bend, OR 97702-3403 | 2010-03-30 |
| 1619923927 | Kathleen A Cullen | Internal Medicine | 10575 68th Ave N, Suite A1, Seminole, FL 33772-6035 | 2006-05-26 |
| 1174590517 | Kathleen Cullen | Physical Therapist | 38 Elm St, Morristown, NJ 07960-4110 | 2006-03-03 |
| 1538242821 | Kathleen Cullen | Case Manager/Care Coordinator | 807 Lawn Avenue, Sellersville, PA 18960 | 2006-10-23 |
| 1720083389 | Kathleen M. Cullen | Social Worker | 140 S Arthur St, Ste 503, Spokane, WA 99202-2260 | 2005-06-20 |
| Street Address |
21202 OLEAN BLVD C1 |
| City | PORT CHARLOTTE |
| State | FL |
| Zip Code | 33952-6751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205863594 | A-g Care Medical Equipment Corporation | Durable Medical Equipment & Medical Supplies | 21202 Olean Blvd, Suite E-3, Port Charlotte, FL 33952-6751 | 2006-06-26 |
| 1740606045 | Michael R Harper Dds Pa | Dentist | 21202 Olean Blvd, Ste E2, Port Charlotte, FL 33952-6751 | 2014-03-11 |
| 1891945903 | Harbor Hospitalists LLC | Hospitalist | 21202 Olean Blvd, Ste C1, Port Charlotte, FL 33952-6751 | 2008-09-25 |
| 1528268430 | Herman Gleicher Md Pa | Internal Medicine | 21202 Olean Blvd, Unit C-1, Port Charlotte, FL 33952-6751 | 2007-07-19 |
| 1437235918 | Michael R. Harper | Dentist | 21202 Olean Blvd, E-2, Port Charlotte, FL 33952-6751 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700486552 | Arrow Medical LLC | Durable Medical Equipment & Medical Supplies | 3514 Tamiami Trail, Unit 104, Port Charlotte, FL 33952 | 2020-10-30 |
| 1376009621 | David Alan Mowry | Massage Therapist | 3148 Whiting Lane, Port Charlotte, FL 33952 | 2019-02-12 |
| 1124527189 | Aegis Group Practice, LLC | Physical Therapist | 2500 Aaron Street, Port Charlotte, FL 33952 | 2018-02-06 |
| 1255856118 | All Powered Mobility, LLC | Durable Medical Equipment & Medical Supplies | 2765 Tamiami Trl Ste B1, Port Charlotte, FL 33952 | 2017-08-11 |
| 1366994915 | Julianne Kumar | Physical Medicine & Rehabilitation | 4166 Tamiami Trail, Unit A, Port Charlotte, FL 33952 | 2016-10-31 |
| 1659729549 | The Gathering Place LLC | Licensed Practical Nurse | 3459 Depew Ave, Port Charlotte, FL 33952 | 2016-06-01 |
| 1003222183 | Philip Lagamma | Physical Therapist | 4161 Tamiami Trl Ste 103, Port Charlotte, FL 33952 | 2014-07-09 |
| 1184039695 | Nathan E Shipley | Driver | 2338 Alton Rd., Port Charlotte, FL 33952 | 2014-06-23 |
| 1619318219 | Nic 4 Royal Palm Leasing LLC | Assisted Living Facility | 2500 Aaron St., Port Charlotte, FL 33952 | 2013-07-11 |
| 1225306475 | Tamjo Inc | Hearing Instrument Specialist | 2811 Ste. A Tamiami Trail, Port Charlotte, FL 33952 | 2011-12-02 |
| Find all providers in zip 33952 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770079642 | Marcus David Norman | Physician Assistant | 4161 Tamiami Trl Ste 304, Port Charlotte, FL 33952-9254 | 2018-07-03 |
| 1407854789 | Steven L Karo | Physician Assistant | 19531 Cochran Blvd, Port Charlotte, FL 33948-2081 | 2005-07-12 |
| 1114320157 | Travis Neagle | Physician Assistant | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2014-10-06 |
| 1659600302 | Sheri B Green | Physician Assistant | 21297 Olean Blvd Ste A, Port Charlotte, FL 33952-6704 | 2009-12-09 |
| 1992038426 | John A Hubicki | Physician Assistant | 3109 Tamiami Trl, Suite 3, Port Charlotte, FL 33952-8046 | 2009-09-16 |
| 1194737528 | Thomas Flaherty | Physician Assistant | 3390 Tamiami Trl, Suite 204, Port Charlotte, FL 33952-8157 | 2006-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255931325 | Jonathan Thomas Nusbaum | Physician Assistant | 26160 Angelica Rd, Punta Gorda, FL 33955-1419 | 2020-10-28 |
| 1235738659 | Kevin Marcus Luks | Physician Assistant | 10701 Santa Fe Dr, Hollywood, FL 33026-4955 | 2020-10-19 |
| 1245839521 | Stephanie Clay | Physician Assistant | 3455 Rose Mallow Loop, Oviedo, FL 32766-6648 | 2020-10-19 |
| 1104423755 | Lou Joseph Schneggenburger | Physician Assistant | 10115 Forest Hill Blvd Ste 100, Wellington, FL 33414-6178 | 2020-10-07 |
| 1235744582 | Stephanie Graham | Physician Assistant | 1053 Bernice Rd, Rockledge, FL 32955-2201 | 2020-09-14 |
| 1790399483 | Shyla Imani Kissoon | Physician Assistant | 4830 Nw 7th St, Plantation, FL 33317-1410 | 2020-09-01 |
| 1770193500 | My Physician Online | Physician Assistant | 9540 Nw 23rd St, Coral Springs, FL 33065-4974 | 2020-08-06 |
| 1225647977 | Robert Drew Singleton | Physician Assistant | 17501 Biscayne Blvd Ste 460, Aventura, FL 33160-4806 | 2020-07-29 |
| 1750990974 | Andrea K Webber | Physician Assistant | 8119 Sw State Rd 200, Ocala, FL 34481-3448 | 2020-07-23 |
| 1851919526 | Kyra Panni | Physician Assistant | 3857 Hartwood Ln, Jacksonville, FL 32216-1486 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | PORT CHARLOTTE |
| Zip Code | 33952 |
Please comment or provide details below to improve the information on KATHLEEN CULLEN.
| 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.