LISA RAE MCCULLOUGH (NPI# 1861657280) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861657280 |
Entity Type | Individual |
Full Name | LISA RAE MCCULLOUGH |
Credential | NP |
Practice Address |
1400 E Boulder St Colorado Springs CO 80909-5533 |
Mailing Address |
4722 N 24th St Ste 150 Phoenix AZ 85016-4800 |
Practice Telephone | 7194478812 |
Practice Fax Number | 7194478987 |
Mailing Telephone | 8777374546 |
Mailing Fax Number | 6029579438 |
Enumeration Date | 2008-07-24 |
Last Update Date | 2008-07-24 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LN0000X |
Nurse Practitioner Specialization: Neonatal |
5336 | CO | Physician Assistants & Advanced Practice Nursing Providers |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679924831 | Lisa Mccullough | Marriage & Family Therapist | 23440 Civic Center Way, Malibu, CA 90265-4854 | 2016-06-28 |
1568704195 | Lisa Mccullough | Chiropractor | 100 Commerce Dr, Suite B, Hendersonville, TN 37075-2859 | 2013-03-21 |
Street Address |
1400 E BOULDER ST |
City | COLORADO SPRINGS |
State | CO |
Zip Code | 80909-5533 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1558363705 | Pikes Peak Cardiology A Professional LLP | Specialist | 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 | 2005-06-01 |
1154921906 | Pikes Peak Nephrology Associates PC | Internal Medicine | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-30 |
1376143297 | Fabienne Sophie Haas | Student in an Organized Health Care Education/Training Program | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-29 |
1255930004 | Poudre Valley Medical Group, LLC | Social Worker | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-22 |
1497353247 | Stander Neurology Inc. | General Acute Care Hospital | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-10-14 |
1497378343 | Ashley Marie Griffin | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-27 |
1831711944 | Poudre Valley Medical Group, LLC | Obstetrics & Gynecology | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
1033731120 | Poudre Valley Medical Group, LLC | General Practice | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-12 |
1548882756 | Jolene Kendall | Pharmacist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-11 |
1932720471 | Margaret Porter | Occupational Therapist | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2020-05-06 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376173765 | Ascent Health LLC | Community/Behavioral Health | 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 | 2020-01-24 |
1639714041 | Peak Vista Community Health Centers | Clinic/Center | 4041 E San Miguel St, Colorado Springs, CO 80909 | 2019-11-08 |
1437706231 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 445 N Circle Drive, Colorado Springs, CO 80909 | 2019-08-26 |
1760952964 | James Garofalo | Counselor | 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 | 2018-11-29 |
1144719055 | Autumn Leaves Counseling, LLC | Counselor | 2130 Academy Circle, Suite B, Co Springs, CO 80909 | 2018-05-07 |
1407353642 | Ambulnz Co, LLC | Ambulance | 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 | 2018-04-12 |
1083117998 | Peak Wellness Counseling Service, LLC | Counselor | 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 | 2018-03-16 |
1043740822 | Ande Carol West | Dental Hygienist | 701 Citadel Drive East, Colorado Springs, CO 80909 | 2017-06-14 |
1043748791 | Colorado Springs Pharmacy LLC | Pharmacy | 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 | 2017-05-25 |
1215484365 | Brittney Nicole Roberts | Physical Therapist | 2201 Lelaray St., Colorado Springs, CO 80909 | 2016-09-07 |
Find all providers in zip 80909 |
Taxonomy Code | 363LN0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Neonatal |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1194013698 | Brittany Pierce | Nurse Practitioner | 3070 Windjammer Dr, Colorado Springs, CO 80920-4443 | 2011-07-18 |
1558664326 | Helen Sobeck | Nurse Practitioner | 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 | 2010-12-16 |
1578503140 | Maria Lourdes Martirez Rodriguez | Nurse Practitioner | Spectrum Healthcare Resources, 6760 Corporate Drive Suite 220, Colorado Springs, CO 80919 | 2006-06-08 |
1801218219 | Rebecca Sue Lane | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2014-01-20 |
1295164515 | Kendall Meryl Ayers | Nurse Practitioner | 1400 E Boulder St, Suite 4n 4145b, Colorado Springs, CO 80909-5533 | 2013-11-07 |
1427341023 | Faith Carter | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2011-05-16 |
1871885830 | Deanna Joy Wolfe | Nurse Practitioner | 1400 E Boulder St, Colorado Springs, CO 80909-5533 | 2011-05-10 |
1346554763 | Paula Antoinette Bomar | Nurse Practitioner | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2010-07-27 |
1770816043 | Amy Marie Johnson | Nurse Practitioner | 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 | 2009-09-17 |
1518108836 | Camille Dawn Hodapp | Nurse Practitioner | 1400 E Boulder St, Nicu, Colorado Springs, CO 80909-5533 | 2009-03-17 |
Find all providers in COLORADO SPRINGS |
City | COLORADO SPRINGS |
Zip Code | 80909 |
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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.