Sandra Jeanne McCullough

Primary specialty

School Registered NurseTaxonomy code 163WS0200X

License

756806 Issued in TX

Practice address

150 W Ajo Way
Tucson, AZ 85713-6035

Phone

(520) 225-1717

NPI assigned

Nov 13, 2024

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

Other names 1

• Sandra Jeanne Browder Former name

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": "1731456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731456000000",
    "number": "1124842463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "591 S DESERT HAVEN RD",
            "city": "VAIL",
            "state": "AZ",
            "postal_code": "856412811",
            "telephone_number": "334-362-3476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W AJO WAY",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857136035",
            "telephone_number": "520-225-1717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "SANDRA",
        "middle_name": "JEANNE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-13",
        "last_updated": "2024-11-13",
        "certification_date": "2024-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WS0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, School",
            "state": "TX",
            "license": "756806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "BROWDER",
            "middle_name": "JEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Ingrid Guinevere McCrory, CNP
• Mark Lester McCrory, PHARM.D.
• Cynthia McCullah-Stubbs
• Shellie McCulley
• Mercedes McCulloch
• Diana M McCully, FNP
• Melissa McCune, PT, DPT
• Wendy Edith McCurdy, MD
• Eric Duane McCurry, PHARMD
• Lisa Marie McCusker, DNP, APRN, FNP-C

• School Registered Nurse in Tucson, AZ
• Providers in Tucson, AZ by specialty
• School Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2024; 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.