Active NPI
Emily Louise Cullen, FNP
- Family Nurse Practitioner
- Sandusky, OH
National Provider Identifier
1376196840
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- APRN.CNP.024767
- Practice address
- 3800 Boardwalk Blvd
Sandusky, OH 44870-7033 - Phone
- (419) 621-1900
- NPI assigned
- Jul 23, 2019
- 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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | APRN.CNP.024767 | OH | Primary |
Addresses
Primary practice location
3800 Boardwalk Blvd
Sandusky, OH 44870-7033
Mailing address
1235 Meadowview LN
Amherst, OH 44001-1032
Phone (419) 654-0571
Other practice location 1
185 S Main St
Milan, OH 44846-9765
Phone (419) 499-2576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260213003817 | OH | Order and Referring Only - Nurse Practitioner | 5799015319 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563840000000",
"number": "1376196840",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1235 MEADOWVIEW LN",
"city": "AMHERST",
"state": "OH",
"postal_code": "440011032",
"telephone_number": "419-654-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3800 BOARDWALK BLVD",
"city": "SANDUSKY",
"state": "OH",
"postal_code": "448707033",
"telephone_number": "419-621-1900"
}
],
"practiceLocations": [
{
"address_1": "185 S Main St",
"address_purpose": "LOCATION",
"city": "Milan",
"state": "OH",
"postal_code": "448469765",
"country_code": "US",
"telephone_number": "419-499-2576",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CULLEN",
"first_name": "EMILY",
"middle_name": "LOUISE",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-23",
"last_updated": "2019-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": "APRN.CNP.024767",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sandusky, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.