Cody S McCullough, APRN

Primary specialty

Critical Care Pediatric Nurse PractitionerTaxonomy code 363LP0222X

License

0032597 Issued in OH

Practice address

214 W Bowery St
Akron, OH 44308-1046

Phone

(330) 543-1000

NPI assigned

Nov 1, 2022

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

Practice roles

Interoperability endpoints

• Direct secure messaging: cmccullough52071@direct.chmca.org

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.

• Akron Children'S Hospital

  • Children's Hospital
  • Akron, OH
  • NPI 1942465752
  NPD

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

{
    "created_epoch": "1667260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667260800000",
    "number": "1851008676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8077 DEERPATH DR",
            "city": "BOARDMAN",
            "state": "OH",
            "postal_code": "445125835",
            "telephone_number": "330-610-4035"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 W BOWERY ST",
            "city": "AKRON",
            "state": "OH",
            "postal_code": "443081046",
            "telephone_number": "330-543-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "CODY",
        "middle_name": "S",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-11-01",
        "last_updated": "2022-11-01",
        "certification_date": "2022-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0222X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics, Critical Care",
            "state": "OH",
            "license": "0032597",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maggie Elizabeth McCreary
• Rachel McCroskey, QBHS, CDCA
• Michelle McCue
• Ralph W McCue Jr., M.D.
• Imani McCulloh
• Wanda Cerissa McCullough
• Amanda Marie McCune, LPN
• Brandon McCutcheon
• Justin Mitchel McCutcheon, M.D
• Kimberly McCutchin

• Critical Care Pediatric Nurse Practitioner in Akron, OH
• Providers in Akron, OH by specialty
• Critical Care Pediatric Nurse Practitioner in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2022; 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.