Terrell McCollough, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

2013036154 Issued in MO

Practice address

1369 N Westwood Blvd
Poplar Bluff, MO 63901-3313

Phone

(573) 772-7937

NPI assigned

Oct 31, 2014

Sex

Male

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

State licenses

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

{
    "created_epoch": "1414713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414713600000",
    "number": "1689079717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2558 BROWNWOOD CT",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639012656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1369 N WESTWOOD BLVD",
            "city": "POPLAR BLUFF",
            "state": "MO",
            "postal_code": "639013313",
            "telephone_number": "573-772-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCOLLOUGH",
        "first_name": "TERRELL",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-10-31",
        "last_updated": "2014-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "MO",
            "license": "2013036154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MB Moore MD
• Kaylea Rae McAlister, FSP
• Jessica Nicole McCain, FNP-BC
• Makala C McCauley, LCSW
• Candace McCollough
• Cross A McCollum
• Jason Lance McCollum
• Jeri McConnell, BS, CSS
• Elizabeth McCorkle
• Salah Beth McCormack

• Licensed Practical Nurse in Poplar Bluff, MO
• Providers in Poplar Bluff, MO by specialty
• Licensed Practical Nurse in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 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.

Verify at the official NPI Registry.