LISA RAE MCCULLOUGH


Address: 1400 E Boulder St, Colorado Springs, CO 80909-5533
Phone: 7194478812

LISA RAE MCCULLOUGH (NPI# 1861657280) 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) 1861657280
Entity Type Individual
Full Name LISA RAE MCCULLOUGH
Credential NP
Practice Address 1400 E Boulder St
Colorado Springs
CO 80909-5533
Mailing Address 4722 N 24th St
Ste 150
Phoenix
AZ 85016-4800
Practice Telephone 7194478812
Practice Fax Number 7194478987
Mailing Telephone 8777374546
Mailing Fax Number 6029579438
Enumeration Date 2008-07-24
Last Update Date 2008-07-24
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LN0000X Nurse Practitioner
Specialization: Neonatal
5336 CO Physician Assistants & Advanced Practice Nursing Providers

Other Providers LISA MCCULLOUGH

NPI Name Taxonomy Address Enumeration
1679924831 Lisa Mccullough Marriage & Family Therapist 23440 Civic Center Way, Malibu, CA 90265-4854 2016-06-28
1568704195 Lisa Mccullough Chiropractor 100 Commerce Dr, Suite B, Hendersonville, TN 37075-2859 2013-03-21

Office Location

Street Address 1400 E BOULDER ST
City COLORADO SPRINGS
State CO
Zip Code 80909-5533

Providers in the same location

NPI Name Taxonomy Address Enumeration
1558363705 Pikes Peak Cardiology A Professional LLP Specialist 1400 E Boulder St, Suite 700, Colorado Springs, CO 80909-5533 2005-06-01
1154921906 Pikes Peak Nephrology Associates PC Internal Medicine 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-30
1376143297 Fabienne Sophie Haas Student in an Organized Health Care Education/Training Program 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-29
1255930004 Poudre Valley Medical Group, LLC Social Worker 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-22
1497353247 Stander Neurology Inc. General Acute Care Hospital 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-10-14
1497378343 Ashley Marie Griffin Nurse Practitioner 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-27
1831711944 Poudre Valley Medical Group, LLC Obstetrics & Gynecology 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-12
1033731120 Poudre Valley Medical Group, LLC General Practice 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-12
1548882756 Jolene Kendall Pharmacist 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-11
1932720471 Margaret Porter Occupational Therapist 1400 E Boulder St, Colorado Springs, CO 80909-5533 2020-05-06
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376173765 Ascent Health LLC Community/Behavioral Health 2608 Palmer Park Blvd., Colorado Springs, CO- COLORADO 80909 2020-01-24
1639714041 Peak Vista Community Health Centers Clinic/Center 4041 E San Miguel St, Colorado Springs, CO 80909 2019-11-08
1437706231 Cvs Pharmacy Inc Durable Medical Equipment & Medical Supplies 445 N Circle Drive, Colorado Springs, CO 80909 2019-08-26
1760952964 James Garofalo Counselor 2210 E La Salle St Ste 221, Colorado Spgs, CO 80909 2018-11-29
1144719055 Autumn Leaves Counseling, LLC Counselor 2130 Academy Circle, Suite B, Co Springs, CO 80909 2018-05-07
1407353642 Ambulnz Co, LLC Ambulance 2420 E Pikes Peak Ave Ste 1001, Colorado Springs, CO 80909 2018-04-12
1083117998 Peak Wellness Counseling Service, LLC Counselor 2210 E. La Salle Street, Suite 208, Colorado Springs, CO 80909 2018-03-16
1043740822 Ande Carol West Dental Hygienist 701 Citadel Drive East, Colorado Springs, CO 80909 2017-06-14
1043748791 Colorado Springs Pharmacy LLC Pharmacy 2224 E. Pikes Peak Ave, Colorado Springs, CO 80909 2017-05-25
1215484365 Brittney Nicole Roberts Physical Therapist 2201 Lelaray St., Colorado Springs, CO 80909 2016-09-07
Find all providers in zip 80909

Taxonomy Information

Taxonomy Code 363LN0000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Neonatal

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194013698 Brittany Pierce Nurse Practitioner 3070 Windjammer Dr, Colorado Springs, CO 80920-4443 2011-07-18
1558664326 Helen Sobeck Nurse Practitioner 6001 E. Woodmen Road, Nicu St. Frances Medical Center, Colorado Springs, CO 80923 2010-12-16
1578503140 Maria Lourdes Martirez Rodriguez Nurse Practitioner Spectrum Healthcare Resources, 6760 Corporate Drive Suite 220, Colorado Springs, CO 80919 2006-06-08
1801218219 Rebecca Sue Lane Nurse Practitioner 1400 E Boulder St, Colorado Springs, CO 80909-5533 2014-01-20
1295164515 Kendall Meryl Ayers Nurse Practitioner 1400 E Boulder St, Suite 4n 4145b, Colorado Springs, CO 80909-5533 2013-11-07
1427341023 Faith Carter Nurse Practitioner 1400 E Boulder St, Colorado Springs, CO 80909-5533 2011-05-16
1871885830 Deanna Joy Wolfe Nurse Practitioner 1400 E Boulder St, Colorado Springs, CO 80909-5533 2011-05-10
1346554763 Paula Antoinette Bomar Nurse Practitioner 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 2010-07-27
1770816043 Amy Marie Johnson Nurse Practitioner 6001 E Woodmen Rd, Colorado Springs, CO 80923-2601 2009-09-17
1518108836 Camille Dawn Hodapp Nurse Practitioner 1400 E Boulder St, Nicu, Colorado Springs, CO 80909-5533 2009-03-17
Find all providers in COLORADO SPRINGS

Competitor

Search similar providers

City COLORADO SPRINGS
Zip Code 80909

Improve Information

Please comment or provide details below to improve the information on LISA RAE MCCULLOUGH.

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.

Trending Searches