Edward F McCullough, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

ARNP9266748 Issued in FL

Practice address

2852 66TH St N
St Petersburg, FL 33710-3127

Phone

(727) 564-1441

NPI assigned

Oct 8, 2012

Sex

Male

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

Enrolled in FL

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.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: edward.mccullough.1@25403.direct.athenahealth.com

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.

• Psychiatric Behavioral Services, Inc

  • Nurse Practitioner
  • St Petersburg, FL
  • NPI 1932451507
  Medicare reassignment NPD Authorized official
• Nxpath Psychiatry LLC

  • Psychiatry Physician
  • Stuart, FL
  • NPI 1134992688
  Medicare reassignment NPD

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

{
    "created_epoch": "1349654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1962754531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 47247",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337437247",
            "telephone_number": "727-564-1441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2852 66TH ST N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337103127",
            "telephone_number": "727-564-1441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCULLOUGH",
        "first_name": "EDWARD",
        "middle_name": "F",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-10-08",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9266748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelli Charlene McCray, APRN
• Dawn G McCreary, LMT
• Sarah McCredden, RN
• Katherine McCulloch, PH.D.
• Christina McCullough, LCSW
• Paige Haley McDaniel, LCSW
• Andrew McDonald, DDS
• Bernadette Marie McDonald, ARNP
• Kelly McDonnell, M.S., SLP
• Emily A McDonough

• Nurse Practitioner in St Petersburg, FL
• Providers in St Petersburg, FL by specialty
• Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2016; 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.