Emily Elizabeth McCullough

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

120 Nix Ridge Rd
Ash Flat, AR 72513-9017

Phone

(870) 373-4707

NPI assigned

Sep 15, 2019

Last updated

Mar 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1568505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711670400000",
    "number": "1154971885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "291 EMERSON DR",
            "city": "VIOLET HILL",
            "state": "AR",
            "postal_code": "725848911",
            "telephone_number": "870-373-4707"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NIX RIDGE RD",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139017",
            "telephone_number": "870-373-4707"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "EMILY",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-15",
        "last_updated": "2024-03-29",
        "certification_date": "2024-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "AR",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "emilyegardner24@gmail.com",
            "affiliation": "N",
            "address_1": "120 Nix Ridge Rd",
            "city": "Ash Flat",
            "state": "AR",
            "country_code": "US",
            "postal_code": "725139017",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Ragan Michelle Maxwell, MHPP
• Kindalh L Mayfield, MHPP
• McBryde Therapy Ops, Inc.
• Alicia Dawn McBryde, OTR
• Amanda McCullough
• Ryan Daniel McCullough, PTA
• Karen McDonald, CDA
• Michelle M. McGowen, MHPP
• Leslie McKnatt, RECOVERY ASSISTANT
• Kendra Metcalf, LPC

• Speech-Language Pathologist in Ash Flat, AR
• Providers in Ash Flat, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 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.