MRS. SUSAN JEAN MCCULLOUGH (NPI# 1639255581) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639255581 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN JEAN MCCULLOUGH |
| Credential | APRN |
| Practice Address |
601 N 30th St Omaha NE 68131-2137 |
| Mailing Address |
5015 Webster St Omaha NE 68132-2209 |
| Practice Telephone | 4022804497 |
| Mailing Telephone | 4025535261 |
| Enumeration Date | 2006-10-31 |
| 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 | 110499 | NE | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518583129 | Susan E Mccullough | Nurse Practitioner | 5932 Antler Trl, Southaven, MS 38672-6511 | 2020-06-19 |
| 1689923773 | Susan L Mccullough | Registered Nurse | 621 Moull St, Newark, OH 43055-2910 | 2012-09-05 |
| 1881836336 | Susan Elizabeth Mccullough | Social Worker | 700 Front St, Suite 204, Louisville, CO 80027-1805 | 2009-03-30 |
| Street Address |
601 N 30TH ST |
| City | OMAHA |
| State | NE |
| Zip Code | 68131-2137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627036 | Blanca Lucia Marky | Psychiatry & Neurology | 601 N 30th St, Suite 5300, Omaha, NE 68131-2137 | 2005-05-24 |
| 1528503851 | Steffany J Chedel | Registered Nurse | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1205371572 | Allyson K Doerr | Nurse Anesthetist, Certified Registered | 601 N 30th St, Suite 3222, Omaha, NE 68131-2128 | 2016-12-22 |
| 1083161889 | Ashley Self | Registered Nurse | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-09 |
| 1467909655 | Teresa Champion | Nurse Practitioner | 601 N 30th St, Suite 3700, Omaha, NE 68131-2128 | 2016-09-06 |
| 1750837910 | Muhammad Adil Mumtaz | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-08-28 |
| 1730632894 | Abhishek Thandra | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-25 |
| 1265885370 | Ankit Verma | Surgery | 601 N 30th St, Cu Department of Surgery, Omaha, NE 68131-2128 | 2016-07-13 |
| 1225480650 | Danielle Flores | Internal Medicine | 601 N 30th St, Cu Department of Internal Medicine, Omaha, NE 68131-2128 | 2016-07-11 |
| 1649622333 | Mateo Cindric | Family Medicine | 601 N 30th St, Cu - Department of Family Medicine, Omaha, NE 68131-2128 | 2016-07-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821626086 | Spring Forward Ot, LLC | Occupational Therapist | 429 N. 38th Ave, Omaha, NE 68131 | 2020-03-31 |
| 1568944528 | Amy Vodicka | Case Manager/Care Coordinator | 3612 Cuming St., Omaha, NE 68131 | 2018-09-05 |
| 1982121919 | Lakeisha Marie Phelps | Peer Specialist | 3568 Dodge St, Omaha, NE 68131 | 2017-08-30 |
| 1063939098 | William L. Rolfe | Community Health Worker | 3568 Dodge Street, Suite 2, Omaha, NE 68131 | 2017-08-30 |
| 1578086294 | Nebraska Family Support Network | Community/Behavioral Health | 3568 Dodge St Ste 2, Omaha, NE 68131 | 2017-07-25 |
| 1124558937 | Beverly Hamilton | Case Manager/Care Coordinator | 3612 Cuming, Omaha, NE 68131 | 2017-06-14 |
| 1396291068 | Elizabeth George | Internal Medicine | 601 N. 30th St. Cu Department of Internal Medicine, Omaha, NE 68131 | 2016-08-31 |
| 1639625999 | Samuel Ramon Brown | Surgery | 601 N. 30th St. Cu Department of Surgery, Omaha, NE 68131 | 2016-08-28 |
| 1205289238 | Srilakshmi Reddy | Surgery | 601 N 30th St -cu Department of General Surgery, Omaha, NE 68131 | 2016-07-14 |
| 1881069409 | Jordan Sieh | Behavioral Analyst | 444 S. 44th St, Omaha, NE 68131 | 2015-12-08 |
| Find all providers in zip 68131 | ||||
| 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 |
|---|---|---|---|---|
| 1407466972 | Dana Mae Griffin | Nurse Practitioner | 3015 N 90th St Ste 1, Omaha, NE 68134-4713 | 2020-08-08 |
| 1740803022 | Marcia Marie Malone | Nurse Practitioner | 5045 S 153rd St, Omaha, NE 68137 | 2020-05-21 |
| 1275152084 | Natalie Roberts | Nurse Practitioner | 8701 F St, Omaha, NE 68127-1504 | 2020-04-11 |
| 1982233532 | Jill Renae Sheffield | Nurse Practitioner | 2910 N 63rd St, Omaha, NE 68104-3352 | 2020-04-06 |
| 1669000733 | Jessica D Flowers | Nurse Practitioner | 6901 N 72nd St Ste 7500, Omaha, NE 68122-1709 | 2020-04-01 |
| 1639716665 | Tiffany Tesoro | Nurse Practitioner | 16957 Locust St, Omaha, NE 68116-2658 | 2019-12-10 |
| 1366907529 | Jacqueline Mcduffie | Nurse Practitioner | 6774 Wirt St, Omaha, NE 68104-3143 | 2019-02-01 |
| 1366936023 | Debra Jo Warren | Nurse Practitioner | 4104 Leavenworth St, Omaha, NE 68105-1053 | 2018-06-18 |
| 1861998270 | Samantha June Curto | Nurse Practitioner | 17021 Lakeside Drive, Suite 200, Omaha, NE 68130 | 2018-04-04 |
| 1336649987 | Colton A Palmer | Nurse Practitioner | 11725 Arbor St Ste 230, Omaha, NE 68144 | 2018-02-20 |
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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.