Medina Victoria Culver, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2443 Issued in NV

Practice address

1853 Fawnmore CT
Henderson, NV 89012-3155

Phone

(406) 690-4142

NPI assigned

Apr 28, 2015

Last updated

Sep 12, 2021By 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)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631404800000",
    "number": "1730566811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1853 FAWNMORE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123155",
            "telephone_number": "406-690-4142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1853 FAWNMORE CT",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890123155",
            "telephone_number": "406-690-4142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULVER",
        "first_name": "MEDINA",
        "middle_name": "VICTORIA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-28",
        "last_updated": "2021-09-12",
        "certification_date": "2021-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "DO2443",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gabrial Cullen
• Brynda Jena Cullison, MFT,NCC
• Stefanie Nicole Marissa Cullum
• Culpepper DMD PLLC (Excellence in Dentistry)
• Marah Culpepper, DMD
• Tiechaye Culver
• Jaythan Cunico
• Susan Cunningham-Crutcher
• Brittney Cunningham, LCSW
• Edward Cunningham

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2021; 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.