LETITIA L MCCULLY (NPI# 1780613547) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780613547 |
| Entity Type | Individual |
| Full Name | LETITIA L MCCULLY |
| Credential | PA-C |
| Practice Address |
15812 E Indiana Ave Spokane Valley WA 99216-1875 |
| Mailing Address |
203 N Washington St Spokane WA 99201-0233 |
| Practice Telephone | 5094448200 |
| Practice Fax Number | 5094447806 |
| Mailing Telephone | 5094448888 |
| Mailing Fax Number | 5094447806 |
| Enumeration Date | 2006-07-02 |
| Last Update Date | 2018-04-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | PA10004606 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8388431 | 05 |
| Street Address |
15812 E INDIANA AVE |
| City | SPOKANE VALLEY |
| State | WA |
| Zip Code | 99216-1875 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720047624 | Roberta L Knorr | Pediatrics | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2006-03-20 |
| 1871127183 | Isabella Kae Clark | Registered Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2020-02-25 |
| 1164062527 | Kendra Lemery | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2020-01-13 |
| 1194379446 | Jessie Irene Frost | Registered Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2019-07-25 |
| 1952888026 | Jennifer Renee Collins | Licensed Practical Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-07-23 |
| 1962998856 | Iley Scott Copeland | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216 | 2018-07-03 |
| 1194210674 | Tamara Brower | Midwife | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-06-26 |
| 1598255275 | Elise Rose | Advanced Practice Midwife | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-05-17 |
| 1164921250 | Amber Rose Compton | Registered Nurse | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2018-02-05 |
| 1568975456 | Rikki Jayne Miller | Marriage & Family Therapist | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2017-11-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1922622158 | Vera Whole Health Wa, PC | Clinic/Center | 16009 E Indiana Ave, Spokane Valley, WA 99216 | 2020-06-03 |
| 1023654001 | Rebecca Elizabeth Ryan | Massage Therapist | 12505 E 23rd Ave, Spokane Valley, WA 99216 | 2019-11-25 |
| 1356992903 | Creative Communication LLC | Speech-Language Pathologist | 13607 E. Sprague Ave, Spokane Valley, WA 99216 | 2019-09-25 |
| 1972096584 | Eyemart Express LLC | Eyewear Supplier (Equipment, not the service) | 15319 E Indiana Ave Ste 2, Spokane Valley, WA 99216 | 2018-06-08 |
| 1356845655 | Rp Operations, LLC | Assisted Living Facility | 13013 E Mission Ave, Spokane Valley, WA 99216 | 2018-03-21 |
| 1174036305 | Talk, Learn and Communicate | Speech-Language Pathologist | 13607 East Spraque Avenue, Spokane Valley, WA 99216 | 2017-11-09 |
| 1134638281 | Vtc Vitality Healthcare | Pain Medicine | 12409 E Mission Ave Ste 102, Spokane Valley, WA 99216 | 2017-09-20 |
| 1285150086 | Robert C Tsay Jr. | Pharmacist | 12415 E 12th Ave, Apt 110, Spokane Valley, WA 99216 | 2017-08-15 |
| 1629505607 | Spokane Valley Medical, Inc | Durable Medical Equipment & Medical Supplies | 12509 E. Mission Ave, Suite #103, Spokane, WA 99216 | 2017-05-22 |
| Find all providers in zip 99216 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538561030 | Samuel Andrew Sibley | Physician Assistant | 12410 E Sinto Ave Ste 201, Spokane Valley, WA 99216-2280 | 2014-09-16 |
| 1821427618 | Matthew Rendahl | Physician Assistant | 12707 E Mansfield Ave Apt E101, Spokane Valley, WA 99216-7018 | 2013-11-02 |
| 1427306026 | Deanna Renee Lipps | Physician Assistant | 1512 N. Vercler, Suite 103, Spokane Valley, WA 99216 | 2012-08-29 |
| 1215261631 | Travis R. Hunt | Physician Assistant | 13221 E 32nd Ave Ste 1, Spokane Valley, WA 99216-0138 | 2009-10-01 |
| 1710189873 | Janice Lynn Jordan | Physician Assistant | 12418 E Saltese Ave, Spokane Valley, WA 99216-0357 | 2007-06-01 |
| 1487706040 | Rhoda Lee Reich | Physician Assistant | 12709 E Mirabeau Pkwy, Bldg A Ste 200, Spokane Valley, WA 99216 | 2007-01-16 |
| 1568454411 | Clinton S Hedges | Physician Assistant | 16528 Desmet Ct, Spokane Valley, WA 99216-3522 | 2005-08-17 |
| 1164062527 | Kendra Lemery | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216-1875 | 2020-01-13 |
| 1083197768 | Karina Valhalla Caprez | Physician Assistant | 16528 E Desmet Ct, Spokane Valley, WA 99216-3522 | 2018-09-10 |
| 1962998856 | Iley Scott Copeland | Physician Assistant | 15812 E Indiana Ave, Spokane Valley, WA 99216 | 2018-07-03 |
| Find all providers in SPOKANE VALLEY | ||||
| City | SPOKANE VALLEY |
| Zip Code | 99216 |
Please comment or provide details below to improve the information on LETITIA L MCCULLY.
| 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.