Maude E McCullough, RN, MSN, CRC

Primary specialty

CounselorTaxonomy code 101Y00000X

Practice address

130 N Greenwood Ave
Tulsa, OK 74120-1443

Phone

(918) 599-7277

NPI assigned

Jan 8, 2020

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

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Mental Health Counselor

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Deaf Smith County Hospital DistrictGroup PAC ID 8123923497, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Registered Nurse

Practice roles

Locations

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.

• Deaf Smith County Hospital District

  • General Acute Care Hospital
  • Hereford, TX
  • NPI 1568454403
  Medicare reassignment Care Compare group NPD
• Deaf Smith County Hospital District

  • Family Medicine Physician
  • Hereford, TX
  • NPI 1811987027
  NPD

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

{
    "created_epoch": "1578441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578441600000",
    "number": "1649810599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3602 W 108TH CT",
            "city": "JENKS",
            "state": "OK",
            "postal_code": "740371800",
            "telephone_number": "484-294-7267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 N GREENWOOD AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741201443",
            "telephone_number": "918-599-7277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "MAUDE",
        "middle_name": "E",
        "credential": "RN, MSN, CRC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-08",
        "last_updated": "2020-01-08",
        "certification_date": "2020-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachel McCready, LPMT, MT-BC
• Edwin Lynn McCreary, M.D.
• Kaylyn McCulley
• Blake McCullough
• Briana McCullough
• Nile Delawrence McCullough
• Robert Dale McCullough II, DO
• Debbie McCully
• Donna Rene McCully, MA
• D'Anne Renee McCumber

• Counselor in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Counselor in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.