Melody Grace McCulley, DNP, APN, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01175900 Issued in NJ

Practice address

733 Route 70 E Ste 201
Marlton, NJ 08053-2335

Phone

(609) 451-2020

NPI assigned

Oct 10, 2016

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12759/brand/1/csg/1/fhir/r4

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628899200000",
    "number": "1083164404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "733 ROUTE 70 E STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733 ROUTE 70 E STE 201",
            "city": "MARLTON",
            "state": "NJ",
            "postal_code": "080532335",
            "telephone_number": "609-451-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLEY",
        "first_name": "MELODY",
        "middle_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "DNP, APN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-10",
        "last_updated": "2021-08-14",
        "certification_date": "2021-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NJ",
            "license": "26NR18737400",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "F06211160",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01175900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MCCD NJ Psychiatry Services PLLC
• Shanel Laura McConner, NP-BC
• Janan Ahmed McCormick, PMHNP-BC
• Ryan McCormick, M.D.
• Hijazi McCoy, MSN, APN, PMHNP-BC
• Kathleen McDonald, RN APN,C
• Natalie R. McFetridge, MA, CCC-SLP
• Candace Ann McGarry, MS, CCC-SLP
• Dene McGinnis Grinnell, MSN APRN FNP-C
• Jessica Marie McGoldrick

• Family Nurse Practitioner in Marlton, NJ
• Providers in Marlton, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.