Active NPI
Mary Elizabeth Cullen, RD
- Renal Nutrition Registered Dietitian
- Brownsburg, IN
National Provider Identifier
1780915256
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Renal Nutrition Registered Dietitian
- License
- 37001424A
- Practice address
- 9471 Whispering Trce
Brownsburg, IN 46112-9208 - Phone
- (317) 752-6795
- NPI assigned
- Jan 24, 2010
- 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 |
|---|---|---|---|---|
| Renal Nutrition Registered Dietitian | 133VN1005X | 37001424A | IN | Primary |
Addresses
Primary practice location
9471 Whispering Trce
Brownsburg, IN 46112-9208
Mailing address
9471 Whispering Trce
Brownsburg, IN 46112-9208
Phone (317) 752-6795
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37001424A | IN | MD | Renal Nutrition Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1264291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1268870400000",
"number": "1780915256",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9471 WHISPERING TRCE",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461129208",
"telephone_number": "317-752-6795"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9471 WHISPERING TRCE",
"city": "BROWNSBURG",
"state": "IN",
"postal_code": "461129208",
"telephone_number": "317-752-6795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULLEN",
"first_name": "MARY",
"middle_name": "ELIZABETH",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-01-24",
"last_updated": "2010-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "133VN1005X",
"taxonomy_group": "",
"desc": "Dietitian, Registered, Nutrition, Renal",
"state": "IN",
"license": "37001424A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Brownsburg, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.