Active NPI
Amber J Cullen, CNP
- Nurse Practitioner
- Crestview Hills, KY
National Provider Identifier
1164631594
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 2317P
- Practice address
- 2865 Chancellor Dr
Suite 225
Crestview Hills, KY 41017-3912 - Phone
- (859) 341-5400
- Fax
- (859) 578-4594
- NPI assigned
- May 22, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 2317P | KY | Primary |
Addresses
Primary practice location
2865 Chancellor Dr
Suite 225
Crestview Hills, KY 41017-3912
Mailing address
2865 Chancellor Dr
Suite 225
Crestview Hills, KY 41017-3912
Phone (859) 341-5400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2317P | KY | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Associates PSC | Nurse Practitioner | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179792000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1164631594",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2865 CHANCELLOR DR",
"address_2": "SUITE 225",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173912",
"telephone_number": "859-341-5400",
"fax_number": "859-578-4594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2865 CHANCELLOR DR",
"address_2": "SUITE 225",
"city": "CRESTVIEW HILLS",
"state": "KY",
"postal_code": "410173912",
"telephone_number": "859-341-5400",
"fax_number": "859-578-4594"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "AMBER",
"middle_name": "J",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "2317P",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Crestview Hills, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.