VICKI MICHELLE MCCULLOCH (NPI# 1952639742) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952639742 |
| Entity Type | Individual |
| Full Name | VICKI MICHELLE MCCULLOCH |
| Credential | ARNP |
| Practice Address |
4401 S Western Ave Oklahoma City OK 73109-3413 |
| Mailing Address |
5300 N Independence Ave Suite 280 Oklahoma City OK 73112-5556 |
| Practice Telephone | 4057137403 |
| Practice Fax Number | 4057132794 |
| Mailing Telephone | 4057137403 |
| Mailing Fax Number | 4057132794 |
| Enumeration Date | 2009-12-07 |
| Last Update Date | 2017-07-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
71272 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
4401 S WESTERN AVE |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73109-3413 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922091511 | Ralph Oscar Shadid | Internal Medicine | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2005-08-29 |
| 1255939245 | Osu Center for Health Scienses | Clinic/Center | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-10-13 |
| 1740898030 | Ashley Nicole Newberry | Occupational Therapist | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-07-22 |
| 1306461512 | Alicia Ablola Chaparro | Registered Nurse | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-06-12 |
| 1700408309 | Nina G Stevens | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-18 |
| 1174145767 | Jesse P Pandian | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-18 |
| 1578185435 | Robert William Soult | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-14 |
| 1669094579 | Tyler L Woolum | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| 1588286546 | Landon Riesenberg | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| 1225650138 | Shelby Tripod | Student in an Organized Health Care Education/Training Program | 4401 S Western Ave, Oklahoma City, OK 73109-3413 | 2020-05-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063905354 | Housecalls | Family Medicine | 4413 S Lee Ave, Oklahoma City, OK 73109 | 2018-06-11 |
| 1225559404 | John Nathan Jacobsen | Dentist | 235 Sw 25th St., Oklahoma City, OK 73109 | 2017-06-28 |
| 1659828648 | Cynthia Jane Laney | Registered Nurse | 4401 South Western, Oklahoma City, OK 73109 | 2016-09-07 |
| 1497104780 | Hazel Soto | Case Manager/Care Coordinator | 420 Sw, St, Oklahoma, OK 73109 | 2016-06-07 |
| 1063873677 | Ardeceley Brandi Annette Hernandez | Community/Behavioral Health | 5714 S. Western Ave, Oklahoma City, OK 73109 | 2016-03-09 |
| 1316343908 | Van Ngo | Nurse Practitioner | 4413 South Lee Ave, Oklahoma City, OK 73109 | 2014-11-10 |
| 1104249150 | Janessa Ladawn Bointy | Counselor | 5359 S. Western Ave. #707, Oklahoma City, OK 73109 | 2014-01-28 |
| 1033540299 | Bryan Graham | Case Manager/Care Coordinator | 1111 Sw 28th St, Oklahoma City, OK 73109 | 2013-12-12 |
| 1154684603 | Nubia Fiesel | Counselor | 420 Sw 10th Street, Oklahoma City, OK 73109 | 2012-06-20 |
| 1548533664 | C.c. Freeman, Md. Inc | Internal Medicine | 4221 S. Western Ave., Suite 2015, Oklahoma City, OK 73109 | 2012-02-21 |
| Find all providers in zip 73109 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801418991 | Brooke Elizabeth Young | Nurse Practitioner | 825 Ne 10th St Ste 2g, Oklahoma City, OK 73104-5417 | 2020-05-11 |
| 1790315729 | Robin Annette Dockins | Nurse Practitioner | 11404 Bluff Creek Dr, Oklahoma City, OK 73162-3725 | 2020-01-17 |
| 1194283424 | Nancy Ann Owens | Nurse Practitioner | 5101 Sw 120th Ct, Oklahoma City, OK 73173-8875 | 2019-03-05 |
| 1487125282 | Michael Scott Eskew | Nurse Practitioner | 14100 Parkway Commons Dr Ste 100, Oklahoma City, OK 73134-6036 | 2018-12-06 |
| 1477922441 | Nissy Philip | Nurse Practitioner | 3366 Nw Expwy, Suit 550, Oklahoma City, OK 73112-4462 | 2015-09-21 |
| 1750766911 | Asha Joseph | Nurse Practitioner | 711 Sl Young Blvd Ste 430, Oklahoma City, OK 73104-5022 | 2015-07-29 |
| 1467899724 | Sukcha Maudie | Nurse Practitioner | 215 Nw 16th St, Oklahoma City, OK 73103-3408 | 2013-05-28 |
| 1700989316 | Misty Dawn Dean | Nurse Practitioner | 3366 Nw Expressway Ste 400, Oklahoma City, OK 73112-4416 | 2006-09-07 |
| 1083630115 | Terry L Green | Nurse Practitioner | 940 N.e. 13th Street, Suite 3000, Oklahoma City, OK 73104-5099 | 2006-07-14 |
| 1639166499 | Shannon L Johnson | Nurse Practitioner | 1600 Sw 119th St, Oklahoma City, OK 73170-4908 | 2005-10-05 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73109 |
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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.