Carlie Culina

Primary specialty

Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X

License

5302043154 Issued in MI

Practice address

115 Gold Ave SW
Grand Rapids, MI 49504-6323

Phone

(906) 440-9001

NPI assigned

Apr 19, 2017

Last updated

Apr 19, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1492560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492560000000",
    "number": "1952835597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 GOLD AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495046323",
            "telephone_number": "906-440-9001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 GOLD AVE SW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495046323",
            "telephone_number": "906-440-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULINA",
        "first_name": "CARLIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-19",
        "last_updated": "2017-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "5302043154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann Cudney, NP
• Jessica Lea Cuellar
• Abby Cuevas, RDH
• Robert Cuff, MD
• Diane Alice Culik, MD
• David Cullen, D.O.
• William T Cullen, MD
• Anastasia Cullum
• Erin Cullum, LPC
• Kelly J Culmore, DNP

• Student in an Organized Health Care Education/Training Program in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Student in an Organized Health Care Education/Training Program in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2017; 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.