Active NPI
Shauna Marie Gulley, M.D.
- Internal Medicine Physician
- Parker, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 47832
- Practice address
- 11960 Lioness Way Ste 190
Parker, CO 80134-5640 - Phone
- (720) 321-3500
- Fax
- (720) 321-3501
- NPI assigned
- May 4, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 77364 | AZ | |
| Pediatrics Physician | 208000000X | 47832 | CO | |
| Internal Medicine Physician | 207R00000X | 47832 | CO | Primary |
Addresses
Primary practice location
11960 Lioness Way Ste 190
Parker, CO 80134-5640
Mailing address
PO Box 801106
Kansas City, MO 64180-1106
Phone (800) 953-0104
Other practice location 1
9403 Crown Crest Blvd Ste 300
Parker, CO 80138-9048
Phone (303) 269-4410
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 77364 | AZ | MD | Internal Medicine Physician |
| 47832 | CO | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Portercare Adventist Health System | Current | Accepting new patients | |
| Catholic Health Initiatives Colorado | Current | Accepting new patients |
Locations
9100 E Mineral Cir
Centennial, CO 80112
Phone (303) 561-5193
7750 S Broadway
Ste 260
Littleton, CO 80122
Phone (303) 734-8650
11960 Lioness Way
Ste 190
Parker, CO 80134
Phone (303) 649-3790
9403 Crown Crest Blvd
Ste 300
Parker, CO 80138
Phone (303) 269-4410
9399 Crown Crest Blvd
Ste 200
Parker, CO 80138
Phone (303) 269-4410
41 State Highway 67
Woodland Park, CO 80863
Phone (719) 686-0551
Organizations & group practices 6
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.
-
dba Ctsa Cardiac Thor Surg
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Colorado Springs, CO
- NPI 1356783351
-
dba CRSG Cardio Penrose
- Cardiovascular Disease Physician
- Colorado Springs, CO
- NPI 1639469034
-
dba CommonSpirit Orthopedics Longmont
- Orthopaedic Surgery Physician
- Longmont, CO
- NPI 1891675294
-
dba Affiliated Ear, Nose & Throat Physicians
- Otolaryngology Physician
- Greenwood Village, CO
- NPI 1760761928
-
dba Pspa Pain Spec Pah
- Pain Medicine (Anesthesiology) Physician
- Denver, CO
- NPI 1811507924
-
dba AdventHealth Medical Group Urology at Lakewood
- Urology Physician
- Lakewood, CO
- NPI 1942165626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1699488000000",
"number": "1356553879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 801106",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641801106",
"telephone_number": "800-953-0104",
"fax_number": "303-765-6670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11960 LIONESS WAY STE 190",
"city": "PARKER",
"state": "CO",
"postal_code": "801345640",
"telephone_number": "720-321-3500",
"fax_number": "720-321-3501"
}
],
"practiceLocations": [
{
"address_1": "9403 Crown Crest Blvd Ste 300",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "CO",
"postal_code": "801389048",
"country_code": "US",
"telephone_number": "303-269-4410",
"fax_number": "303-269-4411",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULLEY",
"first_name": "SHAUNA",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-04",
"last_updated": "2023-11-09",
"certification_date": "2023-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "77364",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CO",
"license": "47832",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CO",
"license": "47832",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Parker, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.