Sharon E. Gullo, PEDIATRIC NURSE PRAC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

F381302-1 Issued in NY

Practice address

4887 State Route 96a
Hillside Children's Center
Romulus, NY 14541

Phone

(315) 585-3166

Fax

(315) 585-3061

NPI assigned

Jul 16, 2009

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1247702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247702400000",
    "number": "1093945776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4495 MIDDLE CHESIRE R.",
            "city": "CANANDAIGUA",
            "state": "NY",
            "postal_code": "14424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4887 STATE ROUTE 96A",
            "address_2": "HILLSIDE CHILDREN'S CENTER",
            "city": "ROMULUS",
            "state": "NY",
            "postal_code": "14541",
            "telephone_number": "315-585-3166",
            "fax_number": "315-585-3061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLO",
        "first_name": "SHARON",
        "middle_name": "E.",
        "name_prefix": "Mrs.",
        "credential": "PEDIATRIC NURSE PRAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-16",
        "last_updated": "2009-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "NY",
            "license": "F381302-1",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NY",
            "license": "F381302-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Marinda Carroll, LMHC
• Rachel Marie Covert, RN, BSN
• Marie E Dunn, RNC PNP
• Erin Marie Fazzio, OTA
• Molly Kathleen Fischer, AGPCNP-BC
• David L Haimes, PA
• Katrina Ann Harris-Maxwell, LCSW
• Farah Hussain, M.D.
• Krista Fayre Johnson
• Stephen John Kingston II, PA-C

• Psychiatric/Mental Health Nurse Practitioner in Romulus, NY
• Providers in Romulus, NY by specialty
• Psychiatric/Mental Health Nurse Practitioner in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.