Individual provider Active NPI

Julie A Gaulden, AGNP

  • Adult Health Nurse Practitioner
  • Yreka, CA
National Provider Identifier
1356045462
Registry record updated May 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
95024754 Issued in CA
Practice address
1519 S Oregon St
Yreka, CA 96097-3425
Phone
(530) 842-9200
NPI assigned
Mar 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 95024754 CA Primary

Addresses

Primary practice location

1519 S Oregon St
Yreka, CA 96097-3425

Mailing address

6910 Quail Run
Yreka, CA 96097-9157
Phone (530) 598-1244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20230614001881 CA Practitioner - Nurse Practitioner 3678931227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Karuk TribeGroup PAC ID 4688668387, 11 clinicians

Practice addresses (Care Compare)

1519 S Oregon St
Yreka, CA 96097-3425
Phone 53084292006126

64236 2ND Ave
Happy Camp, CA 96039-1016
Phone (530) 493-1600

Hospital & facility affiliations

  • Fairchild Medical Center Hospital, Yreka, CA, CCN 051316
  • Mercy Medical Center of Mt Shasta Hospital, Mount Shasta, CA, CCN 051319

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Karuk Tribe Current Accepting new patients
Karuk Tribe CurrentSince May 1, 2023 Accepting new patients
Karuk Tribe CurrentSince May 1, 2023 Accepting new patients

Locations

1515 S Oregon St
Yreka, CA 96097
Phone (530) 841-1783

1519 S Oregon St
Yreka, CA 96097
Phone (530) 842-9200

Organizations & group practices 3

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1680134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747094400000",
    "number": "1356045462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 QUAIL RUN",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960979157",
            "telephone_number": "530-598-1244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 S OREGON ST",
            "city": "YREKA",
            "state": "CA",
            "postal_code": "960973425",
            "telephone_number": "530-842-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAULDEN",
        "first_name": "JULIE",
        "middle_name": "A",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-30",
        "last_updated": "2025-05-13",
        "certification_date": "2025-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95024754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Yreka, CA

Sources for this page

Verify at the official NPI Registry.