Individual provider Active NPI

Keosha Gulley

  • Advanced Practice Midwife
  • Pensacola, FL
National Provider Identifier
1154280295
Registry record updated Jul 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
APRN11048818 Issued in FL
Practice address
125 Baptist Way Ste 5a
Pensacola, FL 32503-2274
Phone
(448) 227-6870
Fax
(850) 432-7320
NPI assigned
Jan 15, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Advanced Practice Midwife 367A00000X APRN11048818 FL Primary

Addresses

Primary practice location

125 Baptist Way Ste 5a
Pensacola, FL 32503-2274

Mailing address

PO Box 95590
South Jordan, UT 84095-0590
Phone (448) 227-5501

Other practice location 1

3874 Highway 90
Pace, FL 32571-1014
Phone (850) 908-2315

Other practice location 2

1118 Gulf Breeze Pkwy Ste 101
Gulf Breeze, FL 32561-7801
Phone (850) 626-9626 ext. 85062

Other practice location 3

11395 Aruba Dr
Pensacola, FL 32506-1201
Phone (850) 549-5215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2026
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 95590
South Jordan, UT 84095

PO Box
Suite 95590
South Jordan, UT 84095-0590

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1768435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784851200000",
    "number": "1154280295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 95590",
            "city": "SOUTH JORDAN",
            "state": "UT",
            "postal_code": "840950590",
            "telephone_number": "448-227-5501",
            "fax_number": "801-352-7976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 BAPTIST WAY STE 5A",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325032274",
            "telephone_number": "448-227-6870",
            "fax_number": "850-432-7320"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3874 Highway 90",
            "address_purpose": "LOCATION",
            "city": "Pace",
            "state": "FL",
            "postal_code": "325711014",
            "country_code": "US",
            "telephone_number": "850-908-2315",
            "fax_number": "850-908-2307",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1118 Gulf Breeze Pkwy Ste 101",
            "address_purpose": "LOCATION",
            "city": "Gulf Breeze",
            "state": "FL",
            "postal_code": "325617801",
            "country_code": "US",
            "telephone_number": "850-626-9626 x85062",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11395 Aruba Dr",
            "address_purpose": "LOCATION",
            "city": "Pensacola",
            "state": "FL",
            "postal_code": "325061201",
            "country_code": "US",
            "telephone_number": "850-549-5215",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "KEOSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-15",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "FL",
            "license": "APRN11048818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pensacola, FL

Sources for this page

Verify at the official NPI Registry.