Active NPI
Christy Marie Gullage, FNP-BC
- Family Nurse Practitioner
- Keene, NH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 059036-23
- Practice address
- 351 Winchester St
Keene, NH 03431-3930 - Phone
- (603) 352-3406
- Fax
- (603) 352-3416
- NPI assigned
- Aug 19, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 059036-23 | NH | Primary |
Addresses
Primary practice location
351 Winchester St
Keene, NH 03431-3930
Mailing address
360 US Highway 1 Byp Unit 102
Portsmouth, NH 03801-7105
Phone (603) 410-6700
Other practice location 1
458 Old Street Rd Ste 200
Peterborough, NH 03458-1216
Phone (603) 924-2144
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95 of 100
- Quality
- 84.27
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients | |
| Monadnock Community Hospital | Current | Accepting new patients | |
| Convenientmd - FFS UC LLC | Current | Accepting new patients |
Locations
3 Nashua Rd
Bedford, NH 03110
Phone (603) 472-6700
351 Winchester St
Keene, NH 03431
Phone (603) 352-3406
551 Meadow St
Littleton, NH 03561
Phone (603) 761-3660
452 Old Street Rd
Peterborough, NH 03458
Phone (603) 924-4699
111 New Hampshire Ave
Portsmouth, NH 03801
360 US Highway 1 Byp
Unit 102
Portsmouth, NH 03801
Phone (603) 410-6700
125 Indian Rock Rd
Windham, NH 03087
Phone (603) 890-6330
Organizations & group practices 5
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.
-
- Urgent Care Clinic/Center
- Nashua, NH
- NPI 1851082291
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1457304149
-
- Critical Access Hospital
- Peterborough, NH
- NPI 1881676104
-
- Urgent Care Clinic/Center
- Keene, NH
- NPI 1720779150
-
- Urgent Care Clinic/Center
- Sturbridge, MA
- NPI 1386526192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1660867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1700006400000",
"number": "1760100382",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "360 US HIGHWAY 1 BYP UNIT 102",
"city": "PORTSMOUTH",
"state": "NH",
"postal_code": "038017105",
"telephone_number": "603-410-6700",
"fax_number": "603-319-8308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 WINCHESTER ST",
"city": "KEENE",
"state": "NH",
"postal_code": "034313930",
"telephone_number": "603-352-3406",
"fax_number": "603-352-3416"
}
],
"practiceLocations": [
{
"address_1": "458 Old Street Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Peterborough",
"state": "NH",
"postal_code": "034581216",
"country_code": "US",
"telephone_number": "603-924-2144",
"fax_number": "603-924-3993",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GULLAGE",
"first_name": "CHRISTY",
"middle_name": "MARIE",
"credential": "FNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-19",
"last_updated": "2023-11-15",
"certification_date": "2023-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NH",
"license": "059036-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.