Martina Tamara Willis-McCullough, RN

Primary specialty

Rehabilitation Registered NurseTaxonomy code 163WR0400X

License

1-106592 Issued in AL

Practice address

1600 7TH Ave S
Acc BLDG Suite 422
Birmingham, AL 35233-1711

Phone

(205) 939-5900

Fax

(205) 939-5920

NPI assigned

Feb 23, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1235347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235347200000",
    "number": "1407096068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "address_2": "ACC BLDG SUITE 422",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-939-5900",
            "fax_number": "205-939-5920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 7TH AVE S",
            "address_2": "ACC BLDG SUITE 422",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331711",
            "telephone_number": "205-939-5900",
            "fax_number": "205-939-5920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIS-MCCULLOUGH",
        "first_name": "MARTINA",
        "middle_name": "TAMARA",
        "name_prefix": "Mrs.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-23",
        "last_updated": "2009-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Rehabilitation",
            "state": "AL",
            "license": "1-106592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Catherine Williamson
• Anna Williard
• Brianna M Williford, CRNP
• Heatherly Williford
• Joel Major Williford, DC
• Brad Willis Sr., PH.D., LPC-S
• Cathy Fears Willis, ACNP
• Emily Willis, CRNP
• Farinna Latisia Willis, MD
• Ja'Lisa Nicole Willis

• Rehabilitation Registered Nurse in Birmingham, AL
• Providers in Birmingham, AL by specialty
• Rehabilitation Registered Nurse in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2009; 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.