Chasity M. Gushulak-St Amand, FNP STUDENT

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

041495784 Issued in IL

Practice address

4643 Happiness TRL
Rock Island, IL 61201-0004

Phone

(563) 508-8372

NPI assigned

Feb 16, 2026

Sex

Unspecified or another gender identity

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Chasity M. Gushulak Former name

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": "1771200000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1164375770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 WILCOX ST",
            "city": "JOLIET",
            "state": "IL",
            "postal_code": "604356188",
            "telephone_number": "563-508-8372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 HAPPINESS TRL",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612010004",
            "telephone_number": "563-508-8372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUSHULAK-ST AMAND",
        "first_name": "CHASITY",
        "middle_name": "M.",
        "credential": "FNP STUDENT",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-02-16",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IL",
            "license": "041495784",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IA",
            "license": "116531",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHASITY",
            "last_name": "GUSHULAK",
            "middle_name": "M.",
            "credential": "FNP STUDENT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Matthew Greer
• Cindy J Griffith, RPH
• Scott Jeffrey Griffith, LMSW
• Tricia Gross
• Dale Alan Guebert, LCPC
• Sandra Guzman, MSED
• Lindsey Hageman, L.P.C.
• Logan Hagerman
• Susan Kathrine Hagmann, BSN,RN
• Kim Deann Hall

• Registered Nurse in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Registered Nurse in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; 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.