DOMINISE MCCULLOUGH RN
NPI 1013378553
Registered Nurse in Madison, WI

Q: What is Dominise Mccullough's NPI number?

The NPI number for Dominise Mccullough is 1013378553. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Q: What is Dominise Mccullough's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

Active since March 11, 2016

2718 OLD CAMDEN SQ, MADISON, WI 53718(608) 514-5697 Get Directions Write a Review

NPPES record last updated: November 22, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dominise Mccullough Rn NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DOMINISE MCCULLOUGH RN (NPI 1013378553) is an individual registered nurse in Madison, Wisconsin, licensed in Wisconsin (247508-30) and active in the NPI registry since March 2016. She maintains a secondary practice location in Oregon.

NPPES Registry Identity

NPI1013378553

Entity TypeIndividualFemale

Primary Taxonomy163W00000X

Provider Legal NameDOMINISE MCCULLOUGHCredential: RN

Location Address2718 OLD CAMDEN SQMadison, WI 53718-7954

Mailing Address2718 Old Camden SqMadison, WI 53718-7954 · (608) 514-5697

Phone(608) 514-5697

Sole ProprietorNo

Enumeration DateMarch 11, 2016

Last NPPES UpdateNovember 22, 2019

✔ NPI 1013378553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRegistered NurseNursing Service Providers

Taxonomy Code163W00000X

License✔ Licensed in WI · 247508-30

Definition

(1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

Also ListedLicensed Practical NurseTaxonomy 164W00000X · License 315839-31 (WI)

2718 OLD CAMDEN SQ, Madison, WI 53718

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Secondary Practice Location 1

Location 1227 Walnut St, Apt 2Oregon, WI 53575-1337 · Phone (608) 957-9489

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominise Mccullough's NPI number?

The NPI number for Dominise Mccullough is 1013378553. It was assigned to this individual provider in the NPPES registry on March 11, 2016.

Where is Dominise Mccullough located?

Dominise Mccullough practices at 2718 Old Camden Sq, Madison, WI 53718. The listed phone number is (608) 514-5697.

What is Dominise Mccullough's specialty?

The primary specialty registered for this NPI is Registered Nurse with taxonomy code 163W00000X.

When was this NPI record last updated?

The NPPES record for Dominise Mccullough was last updated on November 22, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.