Alisha R. McCullough, DNP, CNM, APRN

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

1084147 Issued in TX

Practice address

1300 W Terrell Ave Ste 320
Fort Worth, TX 76104-2822

Phone

(817) 250-7360

NPI assigned

Jun 29, 2022

Last updated

Nov 20, 2024By 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

Enrolled in TX

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• North Central Texas Community Health Care Center, Inc

  dba Community Healthcare Center

  • Federally Qualified Health Center (FQHC)
  • Wichita Falls, TX
  • NPI 1255324141
  Medicare reassignment NPD
• Texas Health Physicians Group

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1174573596
  Medicare reassignment NPD
• North Central Texas Community Health Care Center Inc

  dba Family Health Center on Virginia

  • Federally Qualified Health Center (FQHC)
  • McKinney, TX
  • NPI 1750983276
  NPD
• North Central Texas Community Health Care Center, Inc

  dba CHC at Wilbarger General

  • Federally Qualified Health Center (FQHC)
  • Vernon, TX
  • NPI 1851114367
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Fort Worth, TX
  • NPI 1114395969
  NPD
• Texas Health Physicians Group

  dba Sleep Healers

  • Sleep Disorder Diagnostic Clinic/Center
  • Dallas, TX
  • NPI 1174992051
  NPD

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

{
    "created_epoch": "1656460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1881326619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5805 SANDHURST LN APT D",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752064925",
            "telephone_number": "773-354-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 W TERRELL AVE STE 320",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042822",
            "telephone_number": "817-250-7360"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1620 W Virginia St",
            "address_purpose": "LOCATION",
            "city": "McKinney",
            "state": "TX",
            "postal_code": "750697875",
            "country_code": "US",
            "telephone_number": "214-618-5600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "ALISHA",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "DNP, CNM, APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-29",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "TX",
            "license": "1084147",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Audra Lanore McCreight, MD
• Allen McCulley, RBT
• Alex A McCulloch, LAT, ATC
• Abbigail Michelle McCullough, RN
• Adrianna McCullough
• Laura M McCullough, PT
• Erin M McCuray, LCDC
• Natalie Nicole McCurley
• Natasha Danielle McCurrie
• Cheryl McCutchan, LMSW

• Advanced Practice Midwife in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Advanced Practice Midwife in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2024; 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.