Individual provider Active NPI

Yvonne Gulino, FNP, CNM

  • Family Nurse Practitioner
  • Osage Beach, MO
National Provider Identifier
1235289125
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
068100 Issued in MO
Practice address
1029 Nichols Rd Ste a
Osage Beach, MO 65065-3008
Phone
(573) 302-1604
Fax
(573) 302-1610
NPI assigned
Jan 11, 2007
Sex
Female
Sole proprietor
No

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 068100 MO Primary

Addresses

Primary practice location

1029 Nichols Rd Ste a
Osage Beach, MO 65065-3008

Mailing address

22410 S Coonce LN
Hartsburg, MO 65039-9443

Other identifiers 1

IdentifierTypeStateIssuer
068100OtherMOSTATE RN LICENSE

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Jul 1, 2014 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife, Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Becky Simpson, MD, PC Past Accepting new patients
Randolph County Health Department Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235289125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22410 S COONCE LN",
            "city": "HARTSBURG",
            "state": "MO",
            "postal_code": "650399443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 NICHOLS RD STE A",
            "city": "OSAGE BEACH",
            "state": "MO",
            "postal_code": "650653008",
            "telephone_number": "573-302-1604",
            "fax_number": "573-302-1610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULINO",
        "first_name": "YVONNE",
        "name_prefix": "Mrs.",
        "credential": "FNP, CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "068100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE RN LICENSE",
            "identifier": "068100",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Osage Beach, MO

Sources for this page

Verify at the official NPI Registry.