Megan McCullough, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN314035 Issued in PA

Practice address

1984 Route 22 Hwy W
Blairsville, PA 15717-1264

Phone

(724) 459-4884

NPI assigned

May 27, 2021

Last updated

May 27, 2021By the provider in NPPES

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Medmark Treatment Centers of Pennsylvania, Inc.

  dba Medmark Treatment Centers Blairsville PA

  • Methadone Clinic
  • Blairsville, PA
  • NPI 1952854408
  NPD
• Medical Technical Rehabilitation LLC

  dba MedTech Rehab Blairsville

  • Methadone Clinic
  • Blairsville, PA
  • NPI 1033487780
  NPD (past)

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

{
    "created_epoch": "1622073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622073600000",
    "number": "1184299513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2072 ROUTE 240 HWY",
            "city": "COMMODORE",
            "state": "PA",
            "postal_code": "157298645",
            "telephone_number": "724-717-3217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1984 ROUTE 22 HWY W",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157171264",
            "telephone_number": "724-459-4884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MEGAN",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-27",
        "last_updated": "2021-05-27",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "PA",
            "license": "PN314035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Timothy Makkar, MD
• Anthony J Mancuso, OD
• Alexa Marconi, DO
• Taylor Marcus, BA
• Kayla McCleary, LPC
• MDC Dental, LLC
• Medical Technical Rehabilitation LLC (MedTech Rehab Blairsville)
• Medmark Treatment Centers of Pennsylvania, Inc. (Medmark Treatment Centers Blairsville PA)
• Merit Dental Inc (Merit Dental)
• Edward John Mihelcic, PH.D., OTR/L

• Licensed Practical Nurse in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Licensed Practical Nurse in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 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.