Active NPI
Yvonne Gulino, FNP, CNM
- Family Nurse Practitioner
- Osage Beach, MO
National Provider Identifier
1235289125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 068100
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 068100 | Other | MO | STATE 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
- 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
| Organization | Specialty | Status | New 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.
-
- Obstetrics & Gynecology Physician
- Osage Beach, MO
- NPI 1902094238
-
- Public Health or Welfare Agency
- Moberly, MO
- NPI 1194990713
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
- 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.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.