Tanya Roseanna McCullar, CNA

Primary specialty

Home Health AideTaxonomy code 374U00000X

Practice address

3880 S Beckley Ave Apt 4202
Dallas, TX 75224-4680

Phone

(469) 657-6088

NPI assigned

Aug 2, 2023

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Tanya Roseanna Nccullar Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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

• God First Home Health Agency

  • Home Health Aide
  • Dallas, TX
  • NPI 1679358295

  Single Specialty

  NPD

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

{
    "created_epoch": "1690934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1558043216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3880 S BECKLEY AVE APT 4202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244680",
            "telephone_number": "469-657-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3880 S BECKLEY AVE APT 4202",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752244680",
            "telephone_number": "469-657-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLAR",
        "first_name": "TANYA",
        "middle_name": "ROSEANNA",
        "name_prefix": "Mrs.",
        "credential": "CNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-02",
        "last_updated": "2023-08-02",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "NCCULLAR",
            "middle_name": "ROSEANNA",
            "prefix": "MISS",
            "credential": "CNA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Patrick James McCreesh III, MD
• Racheal Nichole McCreight, PHARMD
• Thomas McCrorey, MD
• Geoffrey Flynn McCrossan, M.D.
• Madison McCue
• James Parker McCulley, MD
• Kevin McCulloch
• Julie McCullough
• Michael Lee McCullough, MD
• Pamela McCullough, RD, LD

• Home Health Aide in Dallas, TX
• Providers in Dallas, TX by specialty
• Home Health Aide in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2023; 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.