Gwenith Nynell Culclager, LPN

Primary specialty

Licensed Vocational NurseTaxonomy code 164X00000X

License

150610 Issued in TX

Practice address

4354 Stockton Dr
North Little Rock, AR 72117-2917

Phone

(501) 955-7600

Fax

(501) 955-7612

NPI assigned

Dec 13, 2010

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Professional Counseling Associates Inc.

  • Community/Behavioral Health Agency
  • North Little Rock, AR
  • NPI 1437164977
  NPD (past)

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

{
    "created_epoch": "1292198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1609179779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15968",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722315968",
            "telephone_number": "501-221-1843",
            "fax_number": "501-221-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4354 STOCKTON DR",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172917",
            "telephone_number": "501-955-7600",
            "fax_number": "501-955-7612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULCLAGER",
        "first_name": "GWENITH",
        "middle_name": "NYNELL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-13",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "150610",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joe Walter Crow, MD
• Courtney Pleas Crutchfield, PH.D.
• Rodrick James Crutchfield I
• Crystal Vision, Inc
• Erin Lee Csicsila, RD LD
• Paige Danielle Cullins, LAC
• Cultivating Solace Collective LLC
• Cultivating Solace Collective LLC
• Brittany Lorraine Cumbie, LAC
• Anna Cummins, OTR/L

• All providers in North Little Rock, AR
• Licensed Vocational Nurse in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.