Active NPI
Jessica McCullough, L.AC
- Acupuncturist
- Worcester, MA
National Provider Identifier
1366159949
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- License
- OM000337
- Practice address
- 403 Belmont St
Worcester, MA 01604-1019 - Phone
- (508) 425-2555
- NPI assigned
- Nov 2, 2022
- 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 |
|---|---|---|---|---|
| Acupuncturist | 171100000X | OM000337 | PA | Primary |
Addresses
Primary practice location
403 Belmont St
Worcester, MA 01604-1019
Mailing address
403 Belmont St
Worcester, MA 01604-1019
Phone (508) 425-2555
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AC02031 | Other | TX | TEXAS MEDICAL BOARD |
| 845934 | Other | NCCAOM |
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 |
|---|---|---|---|
| OM000337 | PA | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768262400000",
"number": "1366159949",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "403 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041019",
"telephone_number": "508-425-2555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 BELMONT ST",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016041019",
"telephone_number": "508-425-2555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOUGH",
"first_name": "JESSICA",
"credential": "L.AC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-02",
"last_updated": "2026-01-13",
"certification_date": "2026-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "",
"desc": "Acupuncturist",
"state": "PA",
"license": "OM000337",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TEXAS MEDICAL BOARD",
"identifier": "AC02031",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCCAOM",
"identifier": "845934",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.