Active NPI
Edna Culp
- Gerontology Clinical Nurse Specialist
- Poway, CA
National Provider Identifier
1235597352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Clinical Nurse Specialist
- License
- 4361
- Practice address
- 14562 High Pine St
Poway, CA 92064-5918 - Phone
- (858) 668-1750
- NPI assigned
- Feb 3, 2016
- 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 |
|---|---|---|---|---|
| Gerontology Clinical Nurse Specialist | 364SG0600X | 4361 | CA | Primary |
Addresses
Primary practice location
14562 High Pine St
Poway, CA 92064-5918
Mailing address
14562 High Pine St
Poway, CA 92064-5918
Phone (858) 922-3504
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4361 | Other | CA | BRN |
Other names 1
- Edna Villaluna Culp
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4361 | CA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1454457600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1454457600000",
"number": "1235597352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14562 HIGH PINE ST",
"city": "POWAY",
"state": "CA",
"postal_code": "920645918",
"telephone_number": "858-922-3504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14562 HIGH PINE ST",
"city": "POWAY",
"state": "CA",
"postal_code": "920645918",
"telephone_number": "858-668-1750"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULP",
"first_name": "EDNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-02-03",
"last_updated": "2016-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "CA",
"license": "4361",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BRN",
"identifier": "4361",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "EDNA",
"last_name": "CULP",
"middle_name": "VILLALUNA",
"credential": "CNS",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.