Colette Danae Gulsby, FNP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

AP143844 Issued in TX

Practice address

1001 College Ave
Fort Worth, TX 76104-3000

Phone

(817) 336-6000

NPI assigned

Dec 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Daud H. Ashai, M.D. P.a.

  • Critical Care Medicine (Internal Medicine) Physician
  • Fort Worth, TX
  • NPI 1558698217
  NPD
• Muhammad Naveed Siddiqi MD PA

  • Internal Medicine Physician
  • Fort Worth, TX
  • NPI 1790082857
  NPD
• Shine Pediatrics and Wellness Center P.a.

  • Pediatrics Physician
  • Richardson, TX
  • NPI 1609110832
  NPD (past)

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1144868365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 NEW HOPE RD",
            "city": "PALO PINTO",
            "state": "TX",
            "postal_code": "764843563",
            "telephone_number": "325-650-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 COLLEGE AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043000",
            "telephone_number": "817-336-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULSBY",
        "first_name": "COLETTE",
        "middle_name": "DANAE",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP143844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "epic",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1001 College Ave",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761043000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dominick Anthony Gulizo III
• Catherine Gulley, LCDC
• Taylor Cemone Gulley, DO
• Toni A Gulley, LCDC
• Jamie L Gully, NP
• Rinda Gultom
• Madeline Gumbko
• Matthew Charles Gummerson, M.D.
• Ramu Gunda, RPH
• Jack Gunn

• Family Nurse Practitioner in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Family Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.