Jo Ann Cullen, ARNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

ARNP9186216 Issued in FL

Practice address

7 Mallett Way
Bluffton, SC 29910-6064

Phone

(843) 815-6699

Fax

(843) 815-6695

NPI assigned

Aug 28, 2011

Last updated

Apr 24, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pinnacle Plastic Surgery Associates LLC

  dba Pinnacle Plastic Surgery

  • Plastic Surgery Physician
  • Bluffton, SC
  • NPI 1265871719
  Medicare reassignment NPD
• Pinnacle Plastic Surgery Associates LLC

  • Plastic Surgery Physician
  • Rincon, GA
  • NPI 1356214696
  NPD
• S FL Behavioral Health Assoc, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Hallandale Beach, FL
  • NPI 1699538140
  NPD (past)

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

{
    "created_epoch": "1314489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556064000000",
    "number": "1376823864",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26 PEBBLEBROOK CT",
            "city": "GREER",
            "state": "SC",
            "postal_code": "296511935",
            "telephone_number": "813-334-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 MALLETT WAY",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299106064",
            "telephone_number": "843-815-6699",
            "fax_number": "843-815-6695"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7050 W Palmetto Park Rd",
            "address_2": "Suite 30",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334333426",
            "country_code": "US",
            "telephone_number": "561-353-3376",
            "fax_number": "561-404-1170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULLEN",
        "first_name": "JO",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-28",
        "last_updated": "2019-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9186216",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "20192",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Anne Crouch, MA
• Taylor Anne Crum, OTD, OTR/L
• Rachel Crump, MSW
• Claire Lynn Cuda, PTA
• Angelica Elizabeth Cullen, M.S., BCBA
• Scott W Cummings, MD
• CVS
• Matthew D'Antonio, DPT
• Michael Steven Dahn, MD
• Hilary Suzanne Dains

• Family Nurse Practitioner in Bluffton, SC
• Providers in Bluffton, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.