Active NPI
Marsha McCulloch, R.D., L.D.
- Registered Dietitian
- Sioux Falls, SD
National Provider Identifier
1659667400
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 001860
- Practice address
- 7717 W Snapdragon St Unit 4
Sioux Falls, SD 57106-5173 - Phone
- (605) 906-1841
- NPI assigned
- Jun 21, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 001860 | IA | Primary |
Addresses
Primary practice location
7717 W Snapdragon St Unit 4
Sioux Falls, SD 57106-5173
Mailing address
7717 W Snapdragon St
Unit 4
Sioux Falls, SD 57106-5171
Phone (605) 906-1841
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001860 | IA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1308614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391385600000",
"number": "1659667400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7717 W SNAPDRAGON ST",
"address_2": "UNIT 4",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571065171",
"telephone_number": "605-906-1841"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7717 W SNAPDRAGON ST UNIT 4",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571065173",
"telephone_number": "605-906-1841"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCULLOCH",
"first_name": "MARSHA",
"credential": "R.D., L.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-06-21",
"last_updated": "2014-02-03",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IA",
"license": "001860",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.