Kiara Morrissa McCullough

Primary specialty

Speech-Language AssistantTaxonomy code 2355S0801X

License

9323 Issued in CA

Practice address

12755 N. Highway Ca-88
Lodi, CA 95240

Phone

(209) 210-2300

NPI assigned

Aug 21, 2026

Last updated

Aug 21, 2026By 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

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

{
    "created_epoch": "1787270400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787270400000",
    "number": "1639085483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 RIVER POINTE DR",
            "city": "LODI",
            "state": "CA",
            "postal_code": "952400554",
            "telephone_number": "209-639-3864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12755 N. HIGHWAY CA-88",
            "city": "LODI",
            "state": "CA",
            "postal_code": "95240",
            "telephone_number": "209-210-2300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "KIARA",
        "middle_name": "MORRISSA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-08-21",
        "last_updated": "2026-08-21",
        "certification_date": "2026-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": "CA",
            "license": "9323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Summer McCosker, ED.S AND NCSP
• Christine T. McDavit, M.D.
• Alison Kay McGregor, LMFT #101549
• Deborah K McIntosh, NP
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• Shauna M McKeever, PHARMD., RPH

• Speech-Language Assistant in Lodi, CA
• Providers in Lodi, CA by specialty
• Speech-Language Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2026; 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.