MRS. ASHLEY MARIA MCCULLOUGH


Address: 1112 6th Ave, Suite310, Tacoma, WA 98405-4040
Phone: 2534039324

MRS. ASHLEY MARIA MCCULLOUGH (NPI# 1780136481) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1780136481
Entity Type Individual
Full Name MRS. ASHLEY MARIA MCCULLOUGH
Credential MSN, ARNP, RN
Practice Address 1112 6th Ave
Suite310
Tacoma
WA 98405-4040
Mailing Address 1112 6th Ave Suite310
Mailstop 1112-3-fmc
Tacoma
WA 98403
Practice Telephone 2534039324
Mailing Telephone 2534039324
Enumeration Date 2016-10-28
Last Update Date 2016-10-28
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163W00000X Registered Nurse RN60506275 WA Nursing Service Providers
Y 363LF0000X Nurse Practitioner
Specialization: Family
AP60699172 WA Physician Assistants & Advanced Practice Nursing Providers

Other Providers ASHLEY MCCULLOUGH

NPI Name Taxonomy Address Enumeration
1770196388 Ashley Gail Mccullough Technician 1066 Vista Ln, Leon, WV 25123-6600 2020-08-25

Office Location

Street Address 1112 6TH AVE
SUITE310
City TACOMA
State WA
Zip Code 98405-4040

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NPI Name Taxonomy Address Enumeration
1174512503 Tasc LLC Clinic/Center 1112 6th Ave, Suite 100, Tacoma, WA 98405-4040 2005-10-18
1962952036 Eunjin Lipton Nurse Practitioner 1112 6th Ave, Ste. 301, Tacoma, WA 98405-4040 2016-10-12
1538589072 Alisha Scott Physician Assistant 1112 6th Ave, Ste 200, Tacoma, WA 98405-4040 2014-04-23
1235400920 Rbs Anesthesia Services LLP Anesthesiology 1112 6th Ave, Suite 100, Tacoma, WA 98405-4040 2012-01-26
1871873562 Franciscan Medical Group Internal Medicine 1112 6th Ave, Ste 200, Tacoma, WA 98405-4040 2011-08-25
1346455987 Rosalie Nguyen Pharmacist 1112 6th Ave, Ste 101, Tacoma, WA 98405-4040 2007-05-14
1134255938 Kathryn Thena Matthews Physician Assistant 1112 6th Ave, Ste 300, Tacoma, WA 98405-4048 2007-02-26
1801974076 Steven Larson Internal Medicine 1112 6th Ave, Ste 200, Tacoma, WA 98405-4040 2006-11-02
1053424333 Dean Kirk Douglas Physician Assistant 1112 6th Ave, Ste 300, Tacoma, WA 98405-4040 2006-08-17
1508871294 Franciscan Medical Group Orthopaedic Surgery 1112 6th Ave, #300, Tacoma, WA 98405-4040 2006-07-30
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1609486026 Joanna Christine Hope Physician Assistant 2502 S Union Avenue, Tacoma, WA 98405 2020-08-01
1467077891 Richard Jimenez Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 2020-06-11
1669008785 Mariana Sanchez Corona Behavior Technician 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 2020-03-20
1811534845 Jasmine Gregory Social Worker 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 2019-12-10
1548807506 Holly Rebecca Brezynski Student in an Organized Health Care Education/Training Program Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 2019-12-09
1972064392 Logan Brau Student in an Organized Health Care Education/Training Program 1202 M.l.k. Jr Way, Tacoma, WA 98405 2019-03-28
1629532536 Preferred Orthotic and Prosthetic Services Inc Prosthetic/Orthotic Supplier 1708 Yakima Ave Ste 60, Tacoma, WA 98405 2019-01-24
1669945911 Heidi Weakley Counselor 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 2019-01-09
1972074011 Taviance Benet Laster Behavior Technician 1416 S 9th St, Tacoma, WA 98405 2018-12-16
1336618040 Bailey Bangerter Physician Assistant 1901 South Union, A-233, Tacoma, WA 98405 2018-11-26
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Taxonomy Information

Taxonomy Code 363LF0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Family

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1255944278 Alexis Leanne Snyder Nurse Practitioner 717 S 51st St, Tacoma, WA 98408-5710 2020-08-28
1033755699 Maryam Roya Jalili Nurse Practitioner 12180 Park Ave S Tacoma Wa 98447, Tacoma, WA 98447-0001 2019-11-19
1003467127 Salome Odja Dockendorf Nurse Practitioner 1201 Pacific Ave Ste 19501201, Tacoma, WA 98402-4301 2019-09-20
1962064469 Latoya Tia Marie Veliz Nurse Practitioner 2621 170th Street Ct E, Tacoma, WA 98445-7328 2019-07-03
1033629571 Matthew Alexander Watson Nurse Practitioner 9040 Jackson Ave Jay Clinic Jay Clinic, Tacoma, WA 98431-4712 2017-10-11
1396255972 Julie Ann Sunada Nurse Practitioner 2505 S 38th St Ste 109, Tacoma, WA 98409 2017-10-09
1376081836 Baby Nellie Tamayo Nurse Practitioner 10021 12th Ave S, Tacoma, WA 98444-4106 2017-02-05
1114323904 Deanna Sheets Nurse Practitioner 911 Mil Park Ave, Tacoma, WA 98431 2014-11-06
1508273590 Mallory Louise Pursley Nurse Practitioner 1608 South J Street, 3rd Floor, Tacoma, WA 98405 2014-07-22
1932539137 Nandi Brumidge Nurse Practitioner 1498 Pacific Ave Ste 400, Tacoma, WA 98402-4208 2013-11-25
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Competitor

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City TACOMA
Zip Code 98405

Improve Information

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Dataset Information

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.

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