MRS. KATHLEEN ANN MCCULLOUGH (NPI# 1407822968) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407822968 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN ANN MCCULLOUGH |
| Credential | CRNFA |
| Practice Address |
Rr 11 Box 923 Jacksonville TX 75766-9882 |
| Mailing Address |
Po Box 2531 Jacksonville TX 75766-0069 |
| Practice Telephone | 9037212274 |
| Practice Fax Number | 9035862379 |
| Mailing Telephone | 9037212274 |
| Mailing Fax Number | 9035862379 |
| Enumeration Date | 2006-02-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WR0006X |
Registered Nurse Specialization: Registered Nurse First Assistant |
572813 | TX | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659921419 | Kathleen Mccullough | Behavior Technician | 2 Padre Pkwy Ste 101, Rohnert Park, CA 94928-2114 | 2019-09-13 |
| 1508106709 | Kathleen B Mccullough | Nurse Practitioner | 1000 South Ave, Rochester, NY 14620-2733 | 2013-02-25 |
| 1518202068 | Kathleen Mccullough | Physician Assistant | 1025 Morehead Medical Dr, Ste 300, Charlotte, NC 28204-2963 | 2012-12-10 |
| 1093095234 | Kathleen Ann Mccullough | Social Worker | 1115 W Chestnut St, Brockton, MA 02301-7501 | 2011-08-19 |
| 1013154426 | Kathleen Marie Mccullough | Licensed Practical Nurse | 650 Joel Dr, Fort Campbell, KY 42223-5318 | 2009-01-08 |
| 1316081011 | Kathleen A Mccullough | Pediatrics | 1375 E 20th Ave, Denver, CO 80205-5423 | 2007-02-16 |
| 1932117744 | Kathleen I Mccullough | Internal Medicine | 133 Brookline Ave, Boston, MA 02215-3904 | 2006-08-04 |
| Street Address |
RR 11 BOX 923 |
| City | JACKSONVILLE |
| State | TX |
| Zip Code | 75766-9882 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770062788 | David Rentz | Occupational Therapy Assistant | 838 Brown St., Jacksonville, TX 75766 | 2018-08-09 |
| 1295233146 | Amanda Dawn Anderson | Licensed Vocational Nurse | Fm 347, Jacksonville, TX 75766 | 2018-01-25 |
| 1467896241 | Christopher Mark Sirianni | Anesthesiology | 2026 S Jackson St Apt 1213, Jacksonville, TX 75766 | 2013-04-23 |
| 1164703047 | Aegis Psychological Consulting LLC | Psychologist | 208 E. Rusk St., Jacksonville, TX 75766 | 2011-09-06 |
| 1952697872 | Melissa Springmeyer | Family Medicine | 2026 South Jacksonville Street, Jacksonville, TX 75766 | 2011-06-20 |
| 1306031018 | Michael Kay Moore | Occupational Therapist | 4155 Cr 3908, Jacksonville, TX 75766 | 2007-09-06 |
| 1730398827 | Cherokee County Health Department | Public Health or Welfare | 510 East Commerce, Jacksonville, TX 75766 | 2007-05-22 |
| 1568689545 | Mary Alice Bone | Preventive Medicine | 510 E. Commerce, Jacksonville, TX 75766 | 2007-04-19 |
| 1619093176 | Assisted Living Concepts Inc | Assisted Living Facility | 211 Phillip Street, Jacksonville, TX 75766 | 2007-03-22 |
| 1265560767 | Anderson Cherokee Community Enrichment Services | Counselor | 1011 College Ave, Jacksonville, TX 75766 | 2007-02-28 |
| Find all providers in zip 75766 | ||||
| Taxonomy Code | 163WR0006X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Registered Nurse First Assistant |
| A perioperative registered nurse who works in collaboration with the surgeon and other health care team members to achieve optimal outcomes. The RNFA has acquired the necessary knowledge, judgment, and skills specific to the expanded role of RNFA clinical practice. Intraoperatively, the RNFA assists the surgeon. |
| Notes: Source: AORN Official Statement on RNFAs ratified by the AORN House of Delegates in 2004. [7/1/2006: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497809644 | Tzipora S Johnson | Registered Nurse | 10278 Wellhouse Ct, Jacksonville, FL 32220-1351 | 2007-01-23 |
| 1174122071 | Deleah Rene Pickler | Registered Nurse | 3625 University Blvd S, Jacksonville, FL 32216-4207 | 2020-10-21 |
| 1114571312 | Tashia Marie Santiago | Registered Nurse | 10475 Centurion Pkwy N Ste 220, Jacksonville, FL 32256-5004 | 2019-07-26 |
| 1013419282 | Transcendent Multiservice Assist, LLC | Registered Nurse | 15255 Max Leggett Pkwy, Jacksonville, FL 32218-7273 | 2018-03-05 |
| 1255735924 | Wendi Jean Keeney | Registered Nurse | 655 W 8th St, Jacksonville, FL 32209-6511 | 2014-10-09 |
| 1255506812 | Jacki C Bowman | Registered Nurse | 4500 San Pablo Rd S, Jacksonville, FL 32224-1865 | 2008-04-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639785355 | Angel Ramon Santos Mazquiaran | Registered Nurse | 3010 Fort Stockton Dr, Katy, TX 77449-6255 | 2020-09-17 |
| 1821638594 | Angela Noyola, LLC | Registered Nurse | 5512 Squires Dr, The Colony, TX 75056-1363 | 2020-01-10 |
| 1245878669 | Amy G Box | Registered Nurse | 8915 San Fernando Way, Dallas, TX 75218-4036 | 2019-12-16 |
| 1518509397 | Rnfa Lucent Surgical Solutions | Registered Nurse | 11604 Bay Crossing Dr, Pearland, TX 77584-8184 | 2019-10-12 |
| 1801444989 | Park Row Surgical Services | Registered Nurse | 2315 Shelby Park Dr, Katy, TX 77450-6601 | 2019-08-31 |
| 1447805866 | Jd Surgical Group LLC | Registered Nurse | 2453 White Settlement Rd, Weatherford, TX 76087-7202 | 2019-08-02 |
| 1588220719 | Acba Rnfa LLC | Registered Nurse | 1717 Annex Ave Unit 105, Dallas, TX 75204-4645 | 2019-05-13 |
| 1811479348 | Trahan Surgical Group LLC | Registered Nurse | 12050 Woodland Cir, Beaumont, TX 77705-6538 | 2018-08-31 |
| 1932687688 | Tannia Reyna Hewlett | Registered Nurse | 2001 Eastpark Dr, Richardson, TX 75081-5429 | 2018-08-04 |
| 1447749643 | Jennifer Aquino Wong | Registered Nurse | 3418 Woodbine Pl, Pearland, TX 77584-4863 | 2018-05-03 |
| Find all providers with the same taxonomy | ||||
| City | JACKSONVILLE |
| Zip Code | 75766 |
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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.