JIM GULTOM LPN
NPI 1366709388
Licensed Practical Nurse in Denver, CO

Q: What is Jim Gultom's NPI number?

The NPI number for Jim Gultom is 1366709388. It was assigned to this individual provider in the NPPES registry on April 15, 2012.

Q: What is Jim Gultom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

Q: When was this NPI record last updated?

The NPPES record for Jim Gultom was last updated on April 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since April 15, 2012

19053 E 51ST AVE, DENVER, CO 80249(303) 395-5558 Get Directions Write a Review

NPPES record last updated: April 15, 2012. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Jim Gultom Lpn NPPES

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

JIM GULTOM LPN (NPI 1366709388) is an individual licensed practical nurse in Denver, Colorado, licensed in Colorado (43575) and active in the NPI registry since April 2012.

NPPES Registry Identity

NPI1366709388

Entity TypeIndividualMale

Primary Taxonomy164W00000X

Provider Legal NameJIM GULTOMCredential: LPN

Location Address19053 E 51ST AVEDenver, CO 80249-8433

Mailing Address19053 E 51st AveDenver, CO 80249-8433 · (303) 395-5558

Phone(303) 395-5558

Sole ProprietorNo

Enumeration DateApril 15, 2012

✔ NPI 1366709388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers

Taxonomy Code164W00000X

License✔ Licensed in CO · 43575

Definition

A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

19053 E 51ST AVE, Denver, CO 80249

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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 Jim Gultom's NPI number?

The NPI number for Jim Gultom is 1366709388. It was assigned to this individual provider in the NPPES registry on April 15, 2012.

Where is Jim Gultom located?

Jim Gultom practices at 19053 E 51st Ave, Denver, CO 80249. The listed phone number is (303) 395-5558.

What is Jim Gultom's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Jim Gultom was last updated on April 15, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.