Mary McCullough, RD, LD

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

DT88445 Issued in TX

Practice address

595 Pacific Ave
San Francisco, CA 94133-4681

Phone

(415) 800-2311

NPI assigned

Aug 8, 2024

Last updated

Aug 8, 2024By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1723075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723075200000",
    "number": "1467283796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3967 CHEROKEE BLVD",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781325088",
            "telephone_number": "361-877-6507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "595 PACIFIC AVE",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941334681",
            "telephone_number": "415-800-2311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MARY",
        "credential": "RD, LD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-08",
        "last_updated": "2024-08-08",
        "certification_date": "2024-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TX",
            "license": "DT88445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley McCulloch, M.P.T.
• Matthew Ryan McCulloch, M.D.
• Shauna Lea McCulloch, L.A.C.
• Arvan McCullough
• Jill Christine McCullough
• Paul Edward McCullough, MFT
• Emma Kaye McCune
• Joseph McCrary McCune III, MD
• Karen Smith McCune, MD
• Jessie Alexandra McCurdy, LMFT132690

• Registered Dietitian in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Registered Dietitian in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; 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.