NPI
Colleen McCullough
NPI 1104204726
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Individual
- Enumeration date
- 2015-05-14
- Last updated
- 2015-05-14
Run it in Rivvi
Check your whole roster against NPI.
Deactivated, mismatched or missing NPIs across every provider, each with the fix. The kind that get claims denied.
Check the rosterFree to start. Opens Rivvi, the AI workspace for healthcare teams.
Is this you? Set up your practice's workspace from this NPI.
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 11873 63rd Pl N
- City
- Maple Grove MN
- Postal code
- 55369-6152
- Phone
- (763) 227-9791
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Specialist/Technologist, Athletic Trainer providers in Maple Grove, MN. 11 with this primary taxonomy in the public file.
Other NPIs in Maple Grove, MN. 2,058 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
Request removal of this page
This removes the page from rivvi.ai. It does not change the record in NPPES.