Active NPI
Half Moon Health and Wellness, LTD.
- Family Nurse Practitioner
- Boulder, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- Legal business name
- HALF MOON HEALTH AND WELLNESS, LTD.
- Practice address
- 1530 55TH St Ste 123
Boulder, CO 80303-1256 - Phone
- (720) 477-6699
- Fax
- (833) 973-4351
- NPI assigned
- Nov 15, 2023
- Last updated
- Jul 5, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Kristina R Gutzman, FNP-C
- Title
- Nurse Practitioner
- Phone
- (805) 400-7747
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | NU | Primary |
Addresses
Primary practice location
1530 55TH St Ste 123
Boulder, CO 80303-1256
Mailing address
1530 55TH St Ste 123
Boulder, CO 80303-1256
Phone (720) 477-6699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
1530 55th St
Ste 123
Boulder, CO 80303
Phone (720) 477-6699
3400 Industrial Ln
Unit 1A
Broomfield, CO 80020
Phone (720) 477-6699
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Nurse Practitioner
- Broomfield, CO
- NPI 1962959783
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1700006400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1751673600000",
"number": "1174398515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1530 55TH ST STE 123",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031256",
"telephone_number": "720-477-6699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1530 55TH ST STE 123",
"city": "BOULDER",
"state": "CO",
"postal_code": "803031256",
"telephone_number": "720-477-6699",
"fax_number": "833-973-4351"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HALF MOON HEALTH AND WELLNESS, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2023-11-15",
"last_updated": "2025-07-05",
"certification_date": "2025-07-05",
"status": "A",
"authorized_official_last_name": "GUTZMAN",
"authorized_official_first_name": "KRISTINA",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "805-400-7747",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "FNP-C"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boulder, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.