Crystal Gulotta, DNP, CNM, FNP

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

AP9810 Issued in AZ

Practice address

5245 E Knight Dr
Tucson, AZ 85712-2147

Phone

(520) 471-4856

Fax

(520) 326-0302

NPI assigned

May 11, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AZ, CA, FL, MT, TX, WA, AK7 enrollments

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 7

Specialty

Nurse Practitioner

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

TMC Urgent CareGroup PAC ID 7416295688, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Nurse Midwife, Nurse Practitioner

State licenses

Practice roles

Locations

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

• TMC Urgent Care

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1649759606
  Medicare reassignment Care Compare group NPD
• Southern Arizona Urgent Care LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1285994004
  Medicare reassignment NPD
• TMC Medical Network

  • Multi-Specialty Clinic/Center
  • Tucson, AZ
  • NPI 1750832283
  Medicare reassignment NPD
• Signify Health Medical Associates of California, PC

  • General Practice Physician
  • San Francisco, CA
  • NPI 1124685169
  Medicare reassignment NPD
• Signify Health, LLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1689158487

  AK, AZ

  Medicare reassignment NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1679510499
  Medicare reassignment NPD
• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MT, WA

  Medicare reassignment
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Tucson, AZ
  • NPI 1386003788
  NPD
• Southern Arizona Urgent Care, LLC

  • Urgent Care Clinic/Center
  • Oro Valley, AZ
  • NPI 1689039398
  NPD
• Sonora Community Hospital

  • Community/Retail Pharmacy
  • Sonora, CA
  • NPI 1740582568
  NPD
• Sonora Community Hospital

  • Urgent Care Clinic/Center
  • Sonora, CA
  • NPI 1962493791
  NPD
• Vpa of Texas PLLC

  • Family Medicine Physician
  • Irving, TX
  • NPI 1326667536
  NPD

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629936000000",
    "number": "1174059968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5245 E KNIGHT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122147",
            "telephone_number": "520-471-4856",
            "fax_number": "520-326-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5245 E KNIGHT DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857122147",
            "telephone_number": "520-471-4856",
            "fax_number": "520-326-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5301 E Grant Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857122805",
            "country_code": "US",
            "telephone_number": "520-795-8188",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULOTTA",
        "first_name": "CRYSTAL",
        "credential": "DNP, CNM, FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-05-11",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "AZ",
            "license": "223799",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "AZ",
            "license": "AP9810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507765",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kylie Shea Guinta
• John Guisto, MD
• Shannon Lynn Gulledge, COTA/L
• Caitlin Gullette
• Nicole M Gullick, M.D.
• Jazilyn Gulotta, RN
• Rhodelia Jane Gumangan, D.D.S.
• Colleen Anne Gumm, NP
• Elisa Nicole Gumm, DO
• Heidi Anderson Gummel, COTA/L

• Advanced Practice Midwife in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Advanced Practice Midwife in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.