Natasha Nadine McCullough

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

811300-01 Issued in NY

Practice address

1524 Boone Ave Apt 8C
Bronx, NY 10460-5766

Phone

(917) 497-5062

NPI assigned

Feb 3, 2025

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1124832019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1524 BOONE AVE APT 8C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605766",
            "telephone_number": "917-497-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 BOONE AVE APT 8C",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104605766",
            "telephone_number": "917-497-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "NATASHA",
        "middle_name": "NADINE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "NY",
            "license": "811300-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany McCrorey, D.D.S
• Crystal McCrorey
• Tara McCrossan, TSSLD, CCC-SLP
• Kelly Anne McCullagh, MD
• Dolores McCullough, LMSW
• Leeann Michelle McCurry, LMSW
• Dysia Monet McCurty, RN
• Nicole Monique McDade-Grayson, RN
• Jessica McDannis, NP
• Lara McDavit

• General Practice Registered Nurse in Bronx, NY
• Providers in Bronx, NY by specialty
• General Practice Registered Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; 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.