Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tara Lynn McCullough, CNP

Individual provider Family Nurse Practitioner · NPI 1538648811

Tara Lynn McCullough, CNP is a Nurse Practitioner in Saint Paul, Minnesota. Qualified in 2018, 8 years ago. Practices with Herself Health Mn PC, a 31-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2018
What do these letters mean?
CNP — Certified Nurse Practitioner
A certified nurse practitioner.

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Practice location Address checks out

2004 Ford Pkwy
Saint Paul, MN 55116-1931
Phone: (612) 256-8225
Fax: (612) 457-0216
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 5944 (MN)

Record details

NPI number1538648811
Entity typeIndividual (Type 1)
GenderFemale
Credentials CNP
Sole proprietorNo
NPI enumeratedAugust 8, 2018
Last updated in NPPESOctober 30, 2024
Certification dateOctober 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Herself Health Mn Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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