Andrew Ray Culbertson, PEER SUPPORT

Primary specialty

Religious Nonmedical PractitionerTaxonomy code 374K00000X

Practice address

990 Brush Creek Rd
Manchester, OH 45144-9244

Phone

(937) 549-4062

NPI assigned

May 1, 2023

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• The Messianic Refuge

  • Religious Nonmedical Health Care Institution
  • Manchester, OH
  • NPI 1578251252

  Case Management

  NPD Authorized official

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

{
    "created_epoch": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682899200000",
    "number": "1295423978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 BRUSH CREEK RD",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451449243",
            "telephone_number": "937-549-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 BRUSH CREEK RD",
            "city": "MANCHESTER",
            "state": "OH",
            "postal_code": "451449244",
            "telephone_number": "937-549-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "ANDREW",
        "middle_name": "RAY",
        "credential": "PEER SUPPORT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-01",
        "certification_date": "2023-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374K00000X",
            "taxonomy_group": "",
            "desc": "Religious Nonmedical Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Action Committee of Pike County
• Sasha Conley
• Dredan Lee Copeland
• Beverly Jane Cox
• Jaclyn Rose Crawford, MA, CF-SLP
• Dinesh Nayak MD Inc.
• Judith Ann Fulton, FNP
• Ruby Vanessa Lee Gilliam, R.N.
• Sandra D. Greenfeather
• Brittney Hale

• Religious Nonmedical Practitioner in Manchester, OH
• Providers in Manchester, OH by specialty
• Religious Nonmedical Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.