Active NPI
Holly Rae Culton, LPA
- Psychologist
- Chapel Hill, NC
National Provider Identifier
1881742500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychologist
- License
- 2307
- Practice address
- 104 New Stateside Dr
Chapel Hill, NC 27516-1165 - Phone
- (919) 942-2803
- Fax
- (919) 942-2126
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Psychologist | 103T00000X | 2307 | NC | Primary |
Addresses
Primary practice location
104 New Stateside Dr
Chapel Hill, NC 27516-1165
Mailing address
104 New Stateside Dr
Chapel Hill, NC 27516-1165
Phone (919) 942-2803
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6107455 | Medicaid | NC |
Medicare participation
Medicare enrollment files- 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: No
- Power mobility devices: No
- Hospice: No
- Opted out of Medicare
- Yes, effective Feb 8, 2024 through Feb 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2307 | NC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1427328000000",
"number": "1881742500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 NEW STATESIDE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161165",
"telephone_number": "919-942-2803",
"fax_number": "919-942-2126"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 NEW STATESIDE DR",
"city": "CHAPEL HILL",
"state": "NC",
"postal_code": "275161165",
"telephone_number": "919-942-2803",
"fax_number": "919-942-2126"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CULTON",
"first_name": "HOLLY",
"middle_name": "RAE",
"credential": "LPA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2015-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "103T00000X",
"taxonomy_group": "",
"desc": "Psychologist",
"state": "NC",
"license": "2307",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6107455",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Chapel Hill, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2015; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.