MARY M MCCULLOUGH (NPI# 1699057778) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699057778 |
| Entity Type | Individual |
| Full Name | MARY M MCCULLOUGH |
| Credential | AUD |
| Practice Address |
3661 S Miami Ave Suite 409 Miami FL 33133-4236 |
| Practice Telephone | 3058545971 |
| Mailing Telephone | 3058545971 |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2011-09-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 231H00000X | Audiologist | AY1703 | FL | Speech, Language and Hearing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346653151 | Mary Mccullough | Acupuncturist | 4508 Atlantic Ave Ste A505, Long Beach, CA 90807-1520 | 2014-06-09 |
| 1699039933 | Mary Irene Mccullough | Counselor | 11757 Katy Fwy Ste 1300, Houston, TX 77079-1725 | 2012-07-02 |
| 1053358069 | Mary Veronica Mccullough | Home Health Aide | 1002a Ohio Ave, Mc Donald, OH 44437-1744 | 2006-05-31 |
| 1407855943 | Mary Rose Mccullough | Family Medicine | 955 N Michigan Ave, Greensburg, IN 47240-1487 | 2005-07-18 |
| 1548791361 | Mary Alyce Mccullough | Student in an Organized Health Care Education/Training Program | 1 Medical Center Blvd, Department of Surgery, Winston Salem, NC 27101-1148 | 2017-03-23 |
| 1922452705 | Mary Graham Mccullough | Acupuncturist | 2716 San Pedro Dr Ne, Suite A, Albuquerque, NM 87110-3326 | 2016-04-19 |
| 1851704795 | Mary Mccullough | Registered Nurse | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2014-06-09 |
| 1922216837 | Mary Mccullough | Counselor | 11415 Ne 128th St Ste 100, Kirkland, WA 98034-6314 | 2007-05-21 |
| 1396896510 | Mary A Mccullough | Nurse Practitioner | 753 Pointe Basse Dr, Ste Genevieve, MO 63670-1820 | 2007-01-15 |
| Street Address |
3661 S MIAMI AVE SUITE 409 |
| City | MIAMI |
| State | FL |
| Zip Code | 33133-4236 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376547240 | David Schmitt | Internal Medicine | 3661 S Miami Ave, Ste 806, Miami, FL 33133-4214 | 2005-06-09 |
| 1043711419 | Patricia Lauren Prins Rodriguez | Nurse Practitioner | 3661 S Miami Ave, Miami, FL 33133-4236 | 2018-02-21 |
| 1508302647 | Mo Eltahir Dpm Pa | Podiatrist | 3661 S Miami Ave, Suite 209, Miami, FL 33133-4236 | 2017-01-12 |
| 1285178061 | Erodida Denise Conforti | Nurse Practitioner | 3661 S Miami Ave, Suite 209, Miami, FL 33133-4236 | 2016-12-13 |
| 1215302013 | Ivomny Valdes | Physician Assistant | 3661 S Miami Ave, Suite 409, Miami, FL 33133-4236 | 2015-12-04 |
| 1750750782 | Genesiscare Usa of Florida LLC | Urology | 3661 S Miami Ave, Suite 405, Miami, FL 33133-4236 | 2015-09-21 |
| 1730557802 | Armando Noa Gonzalez | Specialist/Technologist, Other | 3661 S Miami Ave, Suite 708, Miami, FL 33133-4236 | 2015-09-08 |
| 1770950164 | Julia T Nieda | Hearing Instrument Specialist | 3661 S Miami Ave, Suite 407, Miami, FL 33133-4236 | 2015-09-01 |
| 1760862510 | Andres Antonio Burgos | Physician Assistant | 3661 S Miami Ave, Suite 708, Miami, FL 33133-4236 | 2015-06-08 |
| 1881071678 | Ernesto V Torres Md Pllc | Surgery | 3661 S Miami Ave, Suite 402, Miami, FL 33133-4236 | 2015-04-30 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942831367 | Thelma Oliver Pyton | Case Manager/Care Coordinator | 2780 Sw 37th Avenue, Suite 206, Miami, FL 33133 | 2020-02-04 |
| 1164069456 | Jorge Alberto Lopez II | Counselor | 2780 Ssw 37th Ave, Coconut Grove, FL 33133 | 2019-12-05 |
| 1588209381 | Toni T Rice | Counselor | 2780 S.w. 37th Ave, Suite #206, Miami, FL 33133 | 2019-11-15 |
| 1720629876 | Julian De Jesus Mazuera Pelaez | Specialist/Technologist, Other | 2615 Sw 22nd Av, Apt 10, Miami, FL 33133 | 2019-09-30 |
| 1558831131 | Jessica Dehombre | Speech-Language Pathologist | 2780 Sw Douglas Road Suite 203, Miami, FL 33133 | 2018-11-27 |
| 1043723620 | Alayn Fleites Gonzalez | Behavioral Analyst | 2950 S. Dixie Hwy, Miami, FL 33133 | 2017-11-06 |
| 1942711759 | Ella Raphaelle Dufrene | Psychologist | 3244 West Trade Ave. #1, Miami, FL 33133 | 2017-10-19 |
| 1639696305 | Nanci Hellinger | Dietitian, Registered | 3659 S. Miami Ave., Suite 3003, Miami, FL 33133 | 2017-08-24 |
| 1619497922 | Yanet Bonet Mill I | Behavioral Analyst | 2740 Sw 31 Ave, Miami, FL 33133 | 2017-06-27 |
| 1619497534 | Pathwaves Incorporated | Counselor | 2503 Southwest 27 Avenue, Miami, FL 33133 | 2017-06-21 |
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| Taxonomy Code | 231H00000X |
| Grouping | Speech, Language and Hearing Service Providers |
| Classification | Audiologist |
| (1) A specialist in evaluation, habilitation and rehabilitation of those whose communication disorders center in whole or in part in hearing function. Audiologists are autonomous professionals who identify, assess, and manage disorders of the auditory, balance and other neural systems. Audiologists provide audiological (aural) rehabilitation to children and adults across the entire age span. Audiologists select, fit and dispense amplification systems such as hearing aids and related devices. (2) An audiologist is a person qualified by a master’s degree in audiology, licensed by the state, where applicable, and practicing within the scope of that license. Audiologists evaluate and treat patients with impaired hearing. They plan, direct and conduct rehabilitative programs with audiotry substitutional devises (hearing aids) and other therapy. |
| Notes: Source: (1) American Speech-Language-Hearing Association, (1996, Spring) Scope of practice in Audiology, p. 2 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869185 | Aliana Isabel Romero | Audiologist | 1601 Nw 12th Ave Ste 5061, Miami, FL 33136-1005 | 2020-07-29 |
| 1710470331 | Noelia Maria Rodriguez-coss | Audiologist | 9525 S Dixie Hwy, Miami, FL 33156-2802 | 2018-06-08 |
| 1861984262 | Patricia Gabbidon | Audiologist | 1201 Nw 16th St Rm 2a151, Miami, FL 33125 | 2018-05-31 |
| 1760909121 | Joshua Adam Huppert | Audiologist | 1120 Nw 14th St Ste 573, Miami, FL 33136-2107 | 2017-08-27 |
| 1659896777 | Melissa Gonzalez Sirven | Audiologist | 3661 S Miami Ave Ste 407, Miami, FL 33133-4230 | 2017-08-09 |
| 1184148967 | Erica H Altman | Audiologist | 2530 Sw 3rd Ave Apt 505, Miami, FL 33129-2048 | 2017-08-02 |
| 1649670134 | Bianca Castro | Audiologist | 1402 Brickell Bay Dr, Apt 1501, Miami, FL 33131-3631 | 2014-09-03 |
| 1932518685 | Yadira Ivelisse Pagan | Audiologist | 8940 N. Kendall Drive Suite 504-e, Baptist Medical Arts Building, Miami, FL 33176 | 2014-08-07 |
| 1023312675 | Carmen C. Orta | Audiologist | 3661 South Miami Ave., Suite 409, Miami, FL 33133 | 2010-12-22 |
| 1922286053 | Diane M Martinez | Audiologist | 1666 Nw 10th Ave, Acc East, Miami, FL 33136 | 2008-01-31 |
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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.