MRS. MARY LOU MCCULLEY (NPI# 1124494174) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124494174 |
| Entity Type | Individual |
| Full Name | MRS. MARY LOU MCCULLEY |
| Credential | RN CDE |
| Practice Address |
303 Nw 11th St Fairfield IL 62837-1203 |
| Practice Telephone | 6188422611 |
| Practice Fax Number | 6188478388 |
| Mailing Telephone | 6188422611 |
| Mailing Fax Number | 6188478388 |
| Enumeration Date | 2015-08-13 |
| Last Update Date | 2015-08-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174H00000X | Health Educator | 041359796 | IL | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043525603 | Mary Evelyn Mcculley | Nurse Practitioner | 4650 W Sunset Blvd, Ms #66, Los Angeles, CA 90027-6062 | 2010-08-06 |
| Street Address |
303 NW 11TH ST |
| City | FAIRFIELD |
| State | IL |
| Zip Code | 62837-1203 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518910330 | Christopher D Beehn | Physical Therapist | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2006-05-19 |
| 1093345167 | Dana Shantel Taylor | Social Worker | 303 Nw 11th St, Fairfield, IL 62837-1206 | 2020-01-17 |
| 1962983338 | Sherrill Kay Funkhouser | Physician Assistant | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2018-08-23 |
| 1548657158 | Dylan Wayne Stennett | Nurse Practitioner | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2015-04-21 |
| 1063802916 | Whitney Elaine Buckles | Dietitian, Registered | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2015-01-30 |
| 1649442419 | Fairfield Memorial Hospital Association | Family Medicine | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2008-04-01 |
| 1295920387 | Total Renal Care Inc | Clinic/Center | 303 Nw 11th St, Ste 1, Fairfield, IL 62837-1203 | 2007-09-11 |
| 1790982650 | April Joy Best | Speech-Language Pathologist | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2007-07-02 |
| 1558418111 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2007-01-05 |
| 1750438362 | Fairfield Memorial Hospital | Pharmacy | 303 Nw 11th St, Fairfield, IL 62837-1203 | 2007-01-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881294619 | Katelyn Atteberry | Pharmacist | 150 Commerce Drive, Fairfield, IL 62837 | 2020-10-30 |
| 1265894521 | Rebecca August | Social Worker | 506 Nw 9th St, Fairfield, IL 62837 | 2016-03-25 |
| 1063814259 | Kathie L Hill | Social Worker | 303 Nw 11th St., Fairfield Memorial Hospital, Fairfield, IL 62837 | 2014-09-19 |
| 1912206731 | Way-fair Nursing and Rehabilitation Center, LLC | Skilled Nursing Facility | 305 Northwest 11th Street, Fairfield, IL 62837 | 2011-03-18 |
| 1063600773 | Alvin Ewing | Counselor | 407 N. Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1417145129 | Gilbert Tennyson | Counselor | 407 North Basin Rd, Fairfield, IL 62837 | 2007-10-09 |
| 1972791689 | Clint Harvey | Counselor | 407 North Basin Road, Fairfield, IL 62837 | 2007-10-09 |
| 1770789778 | Fairfield Estates, LLC | Point of Service | 315 North Market Street, Fairfield, IL 62837 | 2007-06-26 |
| 1346382207 | Robert E Lowry | Counselor | 407 N Basin Rd., Fairfield, IL 62837 | 2007-02-13 |
| 1790840825 | Bradley D Kramer | Dentist | 301 Nw 11th Street, Suite 212, Fairfield, IL 62837 | 2006-12-27 |
| Find all providers in zip 62837 | ||||
| Taxonomy Code | 174H00000X |
| Grouping | Other Service Providers |
| Classification | Health Educator |
| Health educators work in a variety of settings providing education to individuals or groups of individuals on healthy behaviors, wellness, and health-related topics with the goal of preventing diseases and health problems. Health educators generally require a bachelor’s degree and may receive additional training, such as through mentoring, internships, or volunteer work. |
| Notes: Source: National Uniform Claim Committee, 2009 [7/1/2009: definition added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538708912 | Deandre David Allen | Health Educator | 5274 Finkas Ln, Fairfield, CA 94533-1556 | 2020-01-02 |
| 1265916183 | Kirbee Brooks | Health Educator | 275 Beck Ave # Ms 5-240, Fairfield, CA 94533-6804 | 2018-09-17 |
| 1942783352 | David Charles Gao Chan | Health Educator | 275 Beck Ave, Fairfield, CA 94533-6804 | 2018-09-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376152421 | Brandee Lou Barroso | Health Educator | 1226 14th St, Peru, IL 61354-1836 | 2020-07-24 |
| 1215545462 | Integrated Case Management L3c | Health Educator | 701 Warrenville Rd Ste 250, Lisle, IL 60532-1704 | 2020-07-14 |
| 1770141566 | Erin Horetski | Health Educator | 4922 N Janssen Ave Unit 1, Chicago, IL 60640-3517 | 2019-06-05 |
| 1093285454 | Emily Bernardes Klockenga | Health Educator | 2943 W White Oaks Dr Ste 1, Springfield, IL 62704-6596 | 2018-11-28 |
| 1427532498 | Aishling Companion Home Care, Inc | Health Educator | 13255 Southwest Hwy Ste 200, Orland Park, IL 60462-1362 | 2018-09-17 |
| 1841792801 | Rhonda Richter | Health Educator | 24735 W. Eames St., Channahon, IL 60410 | 2018-03-06 |
| 1609378249 | True Blue Health & Wellness Inc | Health Educator | 11 S Evergreen Ave, Arlington Heights, IL 60005-1427 | 2018-02-28 |
| 1578071551 | Mercer County Family Young Men's Christian Association of Aledo, Illin | Health Educator | 401 Sw 2nd Ave, Aledo, IL 61231 | 2018-01-12 |
| 1225546203 | Golden Corridor Family Young Men's Christian Association | Health Educator | 300 W Wise Road, Schaumburg, IL 60193 | 2018-01-12 |
| 1043729841 | Christian County Young Men's Christian Association Inc | Health Educator | 900 Mcadam Dr, Taylorville, IL 62568 | 2017-09-25 |
| Find all providers with the same taxonomy | ||||
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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.