Vivian L Gulley

Primary specialty

Adult CompanionTaxonomy code 372600000X

License

100110 Issued in NE

Practice address

13919 S PLZ
Omaha, NE 68137-2916

Phone

(402) 896-9988

NPI assigned

May 14, 2025

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mosaic

  • Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
  • Omaha, NE
  • NPI 1467648725
  NPD

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

{
    "created_epoch": "1747180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1740071216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 CASS ST APT 404",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681021316",
            "telephone_number": "402-334-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13919 S PLZ",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681372916",
            "telephone_number": "402-896-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "VIVIAN",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-14",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NE",
            "license": "100110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gwendolyn L Gulizia
• Justin Thomas Gulizia
• Marisa Jean Gulizia, DPT
• Lilly Gulley
• Nikki Gulley
• Marco Gullickson, PHD
• Carl H Gumbiner, M.D.
• Padma Priya Gummadi, MD
• Denise Gummo
• Krishna Gundabolu, M.D.

• Adult Companion in Omaha, NE
• Providers in Omaha, NE by specialty
• Adult Companion in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2025; 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.