DR. KRISTAPHER GULLEY MD
NPI 1619724341
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Q: 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.

Q: 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.

Q: When was this NPI record last updated?

The NPPES record for Kristapher Gulley was last updated on May 1, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 01, 2024PECOS Enrolled

2601 E ROOSEVELT ST, PHOENIX, AZ 85008(602) 344-5011 Get Directions Write a Review

NPPES record last updated: May 1, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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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

NPI1619724341

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. KRISTAPHER GULLEYCredential: MD

Location Address2601 E ROOSEVELT STPhoenix, AZ 85008-4973

Mailing Address3100 N Central AvePhoenix, AZ 85012-2637 · (602) 344-5011

Phone(602) 344-5011

Sole ProprietorNo

Enumeration DateMay 1, 2024

NPPES CertifiedMay 1, 2024

✔ NPI 1619724341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

2601 E ROOSEVELT ST, Phoenix, AZ 85008

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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).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.