Heather Michelle McCullough, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

53-45737 Issued in KS

Practice address

1 Kellogg Circle Box 4008
Emporia, KS 66801

Phone

(620) 341-5222

Fax

(620) 900-1355

NPI assigned

May 9, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Esu Student Health Services

  • Student Health Clinic/Center
  • Emporia, KS
  • NPI 1497906507
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784678400000",
    "number": "1851340558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 KELLOGG CIR # 4008",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "668015087",
            "telephone_number": "620-341-5222",
            "fax_number": "620-900-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 KELLOGG CIRCLE BOX 4008",
            "city": "EMPORIA",
            "state": "KS",
            "postal_code": "66801",
            "telephone_number": "620-341-5222",
            "fax_number": "620-900-1355"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 W 12th Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012589",
            "country_code": "US",
            "telephone_number": "620-342-2900",
            "fax_number": "620-342-6520",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "HEATHER",
        "middle_name": "MICHELLE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2026-07-22",
        "certification_date": "2026-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "45737",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KS",
            "license": "53-45737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100337800A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dawn Renee Massey, MPT
• Thomas Matlock
• Michael W Mawdsley, M.D.
• Cynthia K Maxwell, LSCSW
• Keisha McClish, TLMFT
• Joanna McLaughlin, LMFT
• Megan McNutt
• Paige Elizabeth Meats, PA-C
• Mental Health Center of East Central Kansas
• Mental Health Center of East Central Kansas

• Nurse Practitioner in Emporia, KS
• Providers in Emporia, KS by specialty
• Nurse Practitioner in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.