Individual provider Active NPI

Ivy Gugat, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Parker, CO
National Provider Identifier
1487258968
Registry record updated Oct 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
0996165 Issued in CO
Practice address
19563 E Mainstreet Ste 206B
Parker, CO 80138-7367
Phone
(970) 300-1197
Fax
(888) 314-8161
NPI assigned
Nov 25, 2020
Last updated
Oct 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 0996165 CO Primary

Addresses

Primary practice location

19563 E Mainstreet Ste 206B
Parker, CO 80138-7367

Mailing address

19563 E Mainstreet Ste 206B
Parker, CO 80138-7367
Phone (970) 300-1197

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210128002604 CO Practitioner - Nurse Practitioner 6305250556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19563 E Mainstreet
Suite 206B
Parker, CO 80138-7367
Phone (970) 300-1197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0996165COMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Moving Forward Psychiatry PLLC Psychiatric/Mental Health CurrentSince Oct 7, 2025 Accepting new patients

Locations

19563 E Mainstreet
Ste 206B
Parker, CO 80138
Phone (720) 810-2668

Organizations & group practices 1

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": "1606262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759968000000",
    "number": "1487258968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19563 E MAINSTREET STE 206B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387367",
            "telephone_number": "970-300-1197",
            "fax_number": "888-314-8161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19563 E MAINSTREET STE 206B",
            "city": "PARKER",
            "state": "CO",
            "postal_code": "801387367",
            "telephone_number": "970-300-1197",
            "fax_number": "888-314-8161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGAT",
        "first_name": "IVY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-25",
        "last_updated": "2025-10-09",
        "certification_date": "2025-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CO",
            "license": "0996165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Parker, CO

Sources for this page

Verify at the official NPI Registry.