Active NPI
Kristin Brown Gulley, CRNA
- Certified Registered Nurse Anesthetist
- Louisville, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3005915
- Practice address
- 4000 Kresge Way
Louisville, KY 40207-4605 - Phone
- (502) 473-2132
- Fax
- (502) 459-0923
- NPI assigned
- Jan 15, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 1102792 | KY | |
| Certified Registered Nurse Anesthetist | 367500000X | 3005915 | KY | Primary |
Addresses
Primary practice location
4000 Kresge Way
Louisville, KY 40207-4605
Mailing address
PO Box 70354
Louisville, KY 40270-0354
Phone (502) 473-2132
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100069180 | Medicaid | KY |
Other names 1
- Kristin Lee Gulley
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY, IN
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1850 State St
New Albany, IN 47150-4990
Phone (812) 944-7701
200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 629-8000
4000 Kresge Way
Louisville, KY 40207-4605
Phone (502) 897-8100
4960 Norton Healthcare Blvd
Louisville, KY 40241-2831
Phone (502) 446-8000
Hospital & facility affiliations
- Baptist Health Floyd
- Baptist Health Louisville
- Norton Hospitals, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1102792 | KY | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Indiana LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Professional Anesthesia Services of Kentucky PLLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
Locations
13500 Powers Ct
Ste 230
Fort Myers, FL 33912
Phone (239) 610-0784
24 Joliet St
Dyer, IN 46311
Phone (219) 864-2237
1850 State St
New Albany, IN 47150
Phone (812) 944-7701
231 E Chestnut St
Louisville, KY 40202
Phone (502) 852-8500
2400 Eastpoint Pkwy
Louisville, KY 40223
Phone (502) 210-4850
200 E Chestnut St
Louisville, KY 40202
Phone (502) 446-8000
4000 Kresge Way
St Matthews, KY 40207
Phone (502) 459-7902
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.
-
- Anesthesiology Physician
- Louisville, KY
- NPI 1992212807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Arlington, TX
- NPI 1043561541
IN, Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1265539498
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1043348808
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1447388335
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1699514463
-
- General Acute Care Hospital
- Louisville, KY
- NPI 1831195908
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231977600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1265679054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70354",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402700354",
"telephone_number": "502-473-2132",
"fax_number": "502-459-0923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4000 KRESGE WAY",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402074605",
"telephone_number": "502-473-2132",
"fax_number": "502-459-0923"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GULLEY",
"first_name": "KRISTIN",
"middle_name": "BROWN",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-01-15",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "KY",
"license": "1102792",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "KY",
"license": "3005915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100069180",
"state": "KY"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KRISTIN",
"last_name": "GULLEY",
"middle_name": "LEE",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.