DR. KRISTAPHER GULLEY MD
NPI 1619724341
Student in an Organized Health Care Education/Training Program in Phoenix, AZ
About Dr. Kristapher Gulley Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KRISTAPHER GULLEY MD (NPI 1619724341) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since May 2024. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Kristapher Gulley Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PHOENIX, AZ 85008
PHOENIX, AZ 85008
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 Kristapher Gulley's NPI number?
The NPI number for Kristapher Gulley is 1619724341. It was assigned to this individual provider in the NPPES registry on May 1, 2024.
Where is Kristapher Gulley located?
Kristapher Gulley practices at 2601 E Roosevelt St, Phoenix, AZ 85008. The listed phone number is (602) 344-5011.
What is Kristapher Gulley's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Kristapher Gulley enrolled in Medicare?
Yes. Kristapher Gulley is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kristapher Gulley was last updated on May 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Dr. Kristapher Gulley, MD · NPI 1619724341
Student in an Organized Health Care Education/Training Program provider in Phoenix, Arizona. Individual provider, active in the CMS NPPES registry since May 1, 2024.
## Identity
- **NPI:** 1619724341 (Entity type: Individual)
- **Enumerated:** May 1, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2601 E ROOSEVELT ST, Phoenix, AZ 85008-4973
- **Phone:** (602) 344-5011
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** May 1, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1619724341) · Data from the CMS NPPES public registry.