MRS. KELLY MCCULLOUGH (NPI# 1285627273) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285627273 |
| Entity Type | Individual |
| Full Name | MRS. KELLY MCCULLOUGH |
| Credential | ARNP |
| Practice Address |
7227 Land O Lakes Blvd Land O Lakes FL 34638-2826 |
| Practice Telephone | 7277742360 |
| Practice Fax Number | 8137942120 |
| Mailing Telephone | 7277742360 |
| Mailing Fax Number | 8137942120 |
| Enumeration Date | 2005-08-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | ARNP2752232 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063802981 | Kelly Mccullough | Specialist/Technologist | 954 N County Road 250 W, Brazil, IN 47834-7495 | 2015-01-30 |
| 1417333873 | Kelly Mccullough | Counselor | 715 W Court St, Pasco, WA 99301-4153 | 2015-08-07 |
| 1942698014 | Kelly Dean Mccullough | Counselor | 6926 Ne Fourth Plain Blvd, Vancouver, WA 98661-7369 | 2014-12-24 |
| 1639515307 | Kelly Mccullough | Counselor | 3665 Kearny Villa Rd Ste 101, San Diego, CA 92123 | 2013-05-21 |
| 1932403300 | Kelly Jo Mccullough | Dietitian, Registered | 5323 Harry Hines Blvd, Dallas, TX 75390-7208 | 2010-12-29 |
| 1497088025 | Kelly Loren Mccullough | Physician Assistant | 9104 Babcock Blvd, Suite 2120, Pittsburgh, PA 15237-5818 | 2009-09-15 |
| 1841256260 | Kelly D Mccullough | Internal Medicine | 2979 Squalicum Pkwy, Suite 301, Bellingham, WA 98225-1811 | 2006-04-25 |
| Street Address |
7227 LAND O LAKES BLVD |
| City | LAND O LAKES |
| State | FL |
| Zip Code | 34638-2826 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033564786 | Scott William Leu | Social Worker | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2016-05-02 |
| 1760861850 | District School Board of Pasco County | Local Education Agency (LEA) | 7227 Land O Lakes Blvd, Exceptional Student Education, Land O Lakes, FL 34638-2826 | 2015-05-22 |
| 1134390388 | Jessica Morris | Occupational Therapy Assistant | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2008-03-17 |
| 1891963104 | Denise Grunden | Occupational Therapist | 7227 Land O Lakes Blvd, Attention Ese Ot/pt, Land O Lakes, FL 34638-2826 | 2008-02-20 |
| 1689842197 | Patricia Ann Brink | Physical Therapy Assistant | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2008-02-19 |
| 1639347172 | Laura Lydic | Physical Therapy Assistant | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2008-02-19 |
| 1306014840 | Jean Schienle | Occupational Therapy Assistant | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2008-02-19 |
| 1649448358 | Mary M Cooley | Physical Therapist | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2008-02-15 |
| 1497923114 | Gina Tomaselli | Occupational Therapist | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2008-02-15 |
| 1275701971 | Marion Sue Good | Occupational Therapist | 7227 Land O Lakes Blvd, Land O Lakes, FL 34638-2826 | 2008-02-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609341833 | Medical Risk Solutions | Family Medicine | 20360 Gator Lane, Land O Lakes, FL 34638 | 2018-10-03 |
| 1558845313 | Connerton Urgent Care LLC | Clinic/Center | 8527 Land O Lakes Blvd, Land O Lakes, FL 34638 | 2018-09-18 |
| 1588152441 | Aamani Jupalli | Student in an Organized Health Care Education/Training Program | 17801 Ayrshire Blvd, Land O Lakes, FL 34638 | 2018-04-26 |
| 1548764921 | Ibukun Woodson | Nurse Practitioner | 17446 Queensland St, Land O Lakes, FL 34638 | 2018-03-21 |
| 1851824106 | Lisa Ann Brooks | Dentist | 17780 Aprile Dr, Land O Lakes, FL 34638 | 2017-04-04 |
| 1437503653 | Luis A Vega | Social Worker | 17354 Criket Chirp Loop, Land O Lakes, FL 34638 | 2016-04-14 |
| 1548634157 | Diedre Smith | Registered Nurse | 9624 Maxson Drive, Land O Lakes, FL 34638 | 2015-11-19 |
| 1275806861 | Sylvia Zaky | Pharmacist | 2713 Butterfly Landing Drive, Land O Lakes, FL 34638 | 2012-02-14 |
| 1528225612 | Susan Louise Rarick | Psychologist | 20747 Sterlington Drive, Land O Lakes, FL 34638 | 2008-05-17 |
| 1851585665 | Royalty Care Services | Custodial Care Facility | 2930 Downan Point Drive, Land O Lakes, FL 34638 | 2007-09-05 |
| Find all providers in zip 34638 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750908935 | Steven Behmke | Nurse Practitioner | 2711 Letap Ct Unit 101, Land O Lakes, FL 34638-7265 | 2020-07-03 |
| 1093279382 | Andrea Lofay | Nurse Practitioner | 2331 Terra Cotta Cv Apt 307, Land O Lakes, FL 34639-2871 | 2019-01-30 |
| 1730636820 | Integritynp, LLC | Nurse Practitioner | 18536 Merseyside Loop, Land O Lakes, FL 34638-7956 | 2016-09-06 |
| 1144674052 | Erica Conner | Nurse Practitioner | 8338 Bluevine Sky Dr, Land O Lakes, FL 34637-7650 | 2016-04-17 |
| 1093364481 | Khristel A. Fonseca-miller | Nurse Practitioner | 2100 Via Bella Blvd Ste 201, Land O Lakes, FL 34639-5429 | 2019-09-09 |
| 1427501402 | Erin Lynn Godlewski | Nurse Practitioner | 2100 Via Bella Blvd, Ste 202, Land O Lakes, FL 34639-5429 | 2016-07-26 |
| 1922402551 | Lauren Nicole Deneve | Nurse Practitioner | 20615 Amberfield Dr, Land O Lakes, FL 34638-4387 | 2014-10-10 |
| 1265736912 | Joy Drexler | Nurse Practitioner | 20615 Amberfield Dr, Suite 102, Land O Lakes, FL 34638-4387 | 2011-01-10 |
| 1609899871 | Anne Clark | Nurse Practitioner | 2100 Via Bella Blvd, Ste. 204, Land O Lakes, FL 34639-5429 | 2006-07-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639770340 | Ashley Mae Fleck | Nurse Practitioner | 3428 Sepia St, West Melbourne, FL 32904-7588 | 2020-11-08 |
| 1356942031 | Jorge Luis Ulloa Capestany | Nurse Practitioner | 6865 W 7th Ave Apt 408, Hialeah, FL 33014-4877 | 2020-11-08 |
| 1316548126 | Mitza Lacroix | Nurse Practitioner | 2670 Sw 83rd Ave, Miramar, FL 33025-7413 | 2020-11-06 |
| 1295336337 | Eduardo Wilfredo Loredo | Nurse Practitioner | 2930 Nw 156th St, Opa Locka, FL 33054-2226 | 2020-11-05 |
| 1962003004 | Yudaisy Salgueiro | Nurse Practitioner | 307 Nw 72nd Ave Apt 319, Miami, FL 33126-4304 | 2020-11-05 |
| 1992306146 | Nicole Lyn Burks | Nurse Practitioner | 11916 W Sample Rd, Coral Springs, FL 33065-4200 | 2020-11-04 |
| 1790386811 | Louise Lorraine Voltaire | Nurse Practitioner | 7728 Nw Greenspring St, Port St Lucie, FL 34987-3052 | 2020-11-04 |
| 1750982294 | Hyun-ae Kuh | Nurse Practitioner | 1628 Slash Pine Pl, Oviedo, FL 32765-6270 | 2020-11-02 |
| 1033719687 | Biviana Maria Arroyave | Nurse Practitioner | 2293 Ne 122nd St, North Miami, FL 33181-2910 | 2020-10-30 |
| 1831799790 | Jennmobilemed, Inc. | Nurse Practitioner | 631 Sw 17th Ct, Boca Raton, FL 33486-6413 | 2020-10-29 |
| Find all providers with the same taxonomy | ||||
| City | LAND O LAKES |
| Zip Code | 34638 |
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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.