Kathryn Rose Cully

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Practice address

17256 New Dennison Rd
Marion, IL 62959-6220

Phone

(618) 364-6808

NPI assigned

Dec 14, 2021

Last updated

Dec 14, 2021By the provider in NPPES

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1639440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639440000000",
    "number": "1588323752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17256 NEW DENNISON RD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596220",
            "telephone_number": "618-364-6808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17256 NEW DENNISON RD",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629596220",
            "telephone_number": "618-364-6808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULLY",
        "first_name": "KATHRYN",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-12-14",
        "last_updated": "2021-12-14",
        "certification_date": "2021-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "",
            "desc": "Developmental Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD  INSURANCE",
            "identifier": "SYG125146001001",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Courtney Crees
• Emily Cripps
• Lauren Cripps, D.M.D
• Ma Claravel Baricuatro Criste, M.D.
• Alberto Dejesus Cuartas, M.D.
• Charles A Culver, PHARM.D.
• Samantha Cummins, BS
• Cyberlink Health PLLC
• Laura C Czerkas-Sheffer, RN
• Kia Lynn Czuprynski, LPN

• Developmental Therapist in Marion, IL
• Providers in Marion, IL by specialty
• Developmental Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2021; 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.