Bridgette N/a McCullough, RN CCM

Primary specialty

Case Management Registered NurseTaxonomy code 163WC0400X

License

690962 Issued in CA

Practice address

3701 Power Inn Rd Ste 3100
Sacramento, CA 95826-4351

Phone

(800) 707-3358

NPI assigned

Oct 10, 2023

Sex

Female

Sole proprietor

Yes

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

Credentials

Registered Nurse

State licenses

Practice roles

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.

• United and Guided

  • Peer Specialist
  • Sacramento, CA
  • NPI 1336834332
  NPD (past)

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

{
    "created_epoch": "1696896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1225819766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 HERITAGE TREE LN APT 1410",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956107981",
            "telephone_number": "916-710-0863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3701 POWER INN RD STE 3100",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958264351",
            "telephone_number": "800-707-3358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "BRIDGETTE",
        "middle_name": "N/A",
        "credential": "RN CCM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-10",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Case Management",
            "state": "CA",
            "license": "690962",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua B McCritty
• Jeff Eugene McCrory
• Jada McCuan
• Kelly A. McCue, MD
• Patrick M McCulley, CRNA
• Erin McCullough, CDE
• Jennifer McCullough
• Lakeisha Lashae McCullough
• Porsche Jalis McCullough
• Scott Bartholomew McCusker, M.D.

• Case Management Registered Nurse in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Case Management Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.