Individual provider Active NPI

Hayleyesus Paulos Gulilat, MSN, RN, FNP-C

  • Family Nurse Practitioner
  • Fort Worth, TX
National Provider Identifier
1316310170
Registry record updated Jan 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP129344 Issued in TX
Practice address
209 Saint Louis Ave
Fort Worth, TX 76104-1278
Phone
(817) 294-0934
NPI assigned
Nov 2, 2015
Last updated
Jan 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2025

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 AP129344 TX Primary

Addresses

Primary practice location

209 Saint Louis Ave
Fort Worth, TX 76104-1278

Mailing address

209 Saint Louis Ave
Fort Worth, TX 76104-1278
Phone (817) 294-0934

Other practice location 1

5315 Ross Ave
Dallas, TX 75206-7418
Phone (214) 826-2151

Other practice location 2

209 Saint Louis Ave
Fort Worth, TX 76104-1278
Phone (817) 294-0934

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151202001361 TX Practitioner - Nurse Practitioner 7113227802 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner, Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Mark Garza, M.D., PLLC CurrentSince Mar 1, 2025 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Dec 12, 2016 Accepting new patients
24 Hour Physicians, Inc CurrentSince Jan 1, 2020 Accepting new patients
TVP Medical, PLLC Family Current Accepting new patients
Century Integrated Partners, Inc CurrentSince Dec 24, 2016 Accepting new patients
Mark Garza, M.D., PLLC CurrentSince Mar 1, 2025 Accepting new patients
Robert D. Menzies, MD, PLLC CurrentSince Aug 12, 2022 Accepting new patients
Axonos Medical Group PLLC CurrentSince Nov 24, 2024 Accepting new patients
Basin Emergency Physicians PLLC CurrentSince Feb 15, 2019 Accepting new patients
Robert D. Menzies, MD, PLLC CurrentSince Aug 12, 2022 Accepting new patients

Locations

3500 Gaston Ave
Dallas, TX 75246

209 Saint Louis Ave
Fort Worth, TX 76104
Phone (214) 287-2886

209 Saint Louis Ave
Ste 100
Fort Worth, TX 76104
Phone (817) 294-0394

1400 8th Ave
Ft Worth, TX 76104
Phone (817) 922-1559

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

7148 Trail Lake Dr
Ft Worth, TX 76123

620 S Main St
Keller, TX 76248
Phone (214) 294-6100

511 W FM 544
Ste 100
Murphy, TX 75094
Phone (214) 294-6150

500 W 4th St
Odessa, TX 79761
Phone (432) 640-1000

4700 Alliance Blvd
#P
Plano, TX 75093
Phone (469) 814-2000

1975 Alpha Dr
#100
Rockwall, TX 75087
Phone (214) 294-6200

1604 West Ave
San Antonio, TX 78201
Phone (210) 572-8885

Interoperability endpoints

  • Direct secure messaging: hayleyesus.gulilat.1@6800.direct.athenahealth.com
  • Direct secure messaging: hgulilat1254303@direct.sw.org
  • FHIR API: https://api.platform.athenahealth.com/6800/brand/5/csg/1/fhir/r4

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1446422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737590400000",
    "number": "1316310170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041278",
            "telephone_number": "817-294-0934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 SAINT LOUIS AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761041278",
            "telephone_number": "817-294-0934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5315 Ross Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752067418",
            "country_code": "US",
            "telephone_number": "214-826-2151",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "209 Saint Louis Ave",
            "address_purpose": "LOCATION",
            "city": "Fort Worth",
            "state": "TX",
            "postal_code": "761041278",
            "country_code": "US",
            "telephone_number": "817-294-0934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULILAT",
        "first_name": "HAYLEYESUS",
        "middle_name": "PAULOS",
        "credential": "MSN, RN, FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-11-02",
        "last_updated": "2025-01-23",
        "certification_date": "2025-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP129344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.