MID-COLUMBIA DERMATOLOGY, LLC
NPI 1033457395
Nurse Practitioner in Richland, WA

Q: What is Mid-Columbia Dermatology, LLC's NPI number?

The NPI number for Mid-Columbia Dermatology, LLC is 1033457395. It was assigned to this organization in the NPPES registry on January 22, 2013.

Q: What is Mid-Columbia Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Active since January 22, 2013

309 BRADLEY BLVD, STE 101, RICHLAND, WA 99352(509) 619-5936 Get Directions Write a Review

NPPES record last updated: January 22, 2013. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Mid-columbia Dermatology, Llc NPPES

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

MID-COLUMBIA DERMATOLOGY, LLC (NPI 1033457395) is a healthcare organization registered as a nurse practitioner in Richland, Washington and active in the NPI registry since January 2013. The organization lists Jennifer Mccullugh, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1033457395

Entity TypeOrganization

Primary Taxonomy363L00000X

Legal Business NameMID-COLUMBIA DERMATOLOGY, LLC

Location Address309 BRADLEY BLVD, STE 101Richland, WA 99352-4381

Mailing Address309 Bradley Blvd, Ste 101Richland, WA 99352-4381

Phone(509) 619-5936

Organization SubpartNo

Authorized OfficialJennifer MccullughManaging Member · (509) 619-5936

Enumeration DateJanuary 22, 2013

✔ NPI 1033457395 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

License✔ Licensed in WA · AP60140231

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

309 BRADLEY BLVD, Richland, WA 99352

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JAMES NG DDS

Dentist (General Practice)

309 BRADLEY BLVD, SUITE 105
RICHLAND, WA 99352

Benton County (509) 942-1515

SUN RIVER SPEECH THERAPY, LLC

Clinic/Center (Hearing and Speech)

309 BRADLEY BLVD, SUITE 212
RICHLAND, WA 99352

Benton County (509) 521-4034

PETER E SEDA MD FACC PS MID COLUMBIA HEART AND LUNG INSTITUTE

Specialist

309 BRADLEY BLVD, STE 205
RICHLAND, WA 99352

Benton County (509) 943-3177

DAVITA NEPHROLOGY MEDICAL ASSOCIATES OF WASHINGTON, PC

Internal Medicine (Nephrology)

309 BRADLEY BLVD, SUITE 101
RICHLAND, WA 99352

Benton County (541) 564-1810

JENNIFER MARIE MCCULLUGH

Nurse Practitioner

309 BRADLEY BLVD, STE 205
RICHLAND, WA 99352

Benton County (509) 713-7331

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 Mid-Columbia Dermatology, LLC's NPI number?

The NPI number for Mid-Columbia Dermatology, LLC is 1033457395. It was assigned to this organization in the NPPES registry on January 22, 2013.

Where is Mid-Columbia Dermatology, LLC located?

Mid-Columbia Dermatology, LLC is located at 309 Bradley Blvd Ste 101, Richland, WA 99352. The listed phone number is (509) 619-5936.

What is Mid-Columbia Dermatology, LLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

What insurance does Mid-Columbia Dermatology, LLC accept?

Health plans from Premera Blue Cross Blue Shield of Alaska list Mid-Columbia Dermatology, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mid-Columbia Dermatology, LLC was last updated on January 22, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.