Active NPI
Katherine A Gurley, APRN
- Family Nurse Practitioner
- Blytheville, AR
National Provider Identifier
1144563073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- A003841
- Practice address
- 1001 N 6TH St
Blytheville, AR 72315-1707 - Phone
- (870) 281-2530
- Fax
- (870) 281-2532
- NPI assigned
- Mar 28, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | A003841 | AR | Primary |
Addresses
Primary practice location
1001 N 6TH St
Blytheville, AR 72315-1707
Mailing address
PO Box 910
Manila, AR 72442-0910
Phone (870) 561-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200506758 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364428800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1474416000000",
"number": "1144563073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 910",
"city": "MANILA",
"state": "AR",
"postal_code": "724420910",
"telephone_number": "870-561-3300",
"fax_number": "870-561-3307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 N 6TH ST",
"city": "BLYTHEVILLE",
"state": "AR",
"postal_code": "723151707",
"telephone_number": "870-281-2530",
"fax_number": "870-281-2532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GURLEY",
"first_name": "KATHERINE",
"middle_name": "A",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-28",
"last_updated": "2016-09-21",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AR",
"license": "A003841",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200506758",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Blytheville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.