Individual provider Active NPI

Rossanel Nmi Gulotta, CRNFA

  • Registered Nurse First Assistant
  • Kansas City, MO
National Provider Identifier
1194802934
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered Nurse First AssistantTaxonomy code 163WR0006X
License
041435 Issued in MO
Practice address
6400 Prospect Ave Ste 546
Kansas City, MO 64132-4133
Phone
(816) 523-7088
Fax
(816) 523-5747
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse First Assistant 163WR0006X 041435 MO Primary
Registered Nurse First Assistant 163WR0006X 14-60063-092 KS

Addresses

Primary practice location

6400 Prospect Ave Ste 546
Kansas City, MO 64132-4133

Mailing address

1400 NE Parvin Rd
Kansas City, MO 64116-5003
Phone (816) 459-8767

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
14-60063-092KSMDRegistered Nurse First Assistant
041435MOMDRegistered Nurse First Assistant

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194802934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1400 NE PARVIN RD",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641165003",
            "telephone_number": "816-459-8767",
            "fax_number": "816-523-5747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6400 PROSPECT AVE STE 546",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641324133",
            "telephone_number": "816-523-7088",
            "fax_number": "816-523-5747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULOTTA",
        "first_name": "ROSSANEL",
        "middle_name": "NMI",
        "credential": "CRNFA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "MO",
            "license": "041435",
            "primary": true
        },
        {
            "code": "163WR0006X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Registered Nurse First Assistant",
            "state": "KS",
            "license": "14-60063-092",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.