Josette Gullickson

Primary specialty

Diabetes Educator Registered NurseTaxonomy code 163WD0400X

License

183307 Issued in AZ

Practice address

3370 S Mercy Rd
Gilbert, AZ 85297-0414

Phone

(602) 933-0935

Fax

(602) 933-2471

NPI assigned

Mar 26, 2024

Last updated

Apr 29, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1711411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714348800000",
    "number": "1710737325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2108 E THOMAS RD STE 130",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850160008",
            "telephone_number": "602-933-3124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3370 S MERCY RD",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852970414",
            "telephone_number": "602-933-0935",
            "fax_number": "602-933-2471"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1920 E Cambridge Ave",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850061459",
            "country_code": "US",
            "telephone_number": "602-933-0935",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLICKSON",
        "first_name": "JOSETTE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-26",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": "AZ",
            "license": "183307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jole-Lanee Guido, AGACNP-BC
• Reve Guillaume-Partee
• Imani Guillory
• Matthew Gulbrandsen, MD
• Anelisse Guler, SLP-A
• Shannon Lee Gundersen
• Taylor M Gunderson
• Cary L Gundlach, DC
• Cheyenne Gunsalus, RN
• Sunita Gupta, MD

• Diabetes Educator Registered Nurse in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Diabetes Educator Registered Nurse in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.