Individual provider Active NPI

Krystina Gullet

  • Family Nurse Practitioner
  • Pacific, MO
National Provider Identifier
1760390694
Registry record updated Sep 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
2026042420 Issued in MO
Practice address
2219 Silver Lake Estates Dr
Pacific, MO 63069-5565
Phone
(636) 635-8344
NPI assigned
Aug 31, 2026
Last updated
Sep 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 2026042420 MO Primary
Registered Nurse 163W00000X 2012020379 MO

Addresses

Primary practice location

2219 Silver Lake Estates Dr
Pacific, MO 63069-5565

Mailing address

2219 Silver Lake Estates Dr
Pacific, MO 63069-5565
Phone (636) 635-8344

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788739200000",
    "number": "1760390694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2219 SILVER LAKE ESTATES DR",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630695565",
            "telephone_number": "636-635-8344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2219 SILVER LAKE ESTATES DR",
            "city": "PACIFIC",
            "state": "MO",
            "postal_code": "630695565",
            "telephone_number": "636-635-8344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GULLET",
        "first_name": "KRYSTINA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-09-07",
        "certification_date": "2026-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "2026042420",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "MO",
            "license": "2012020379",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacific, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2026; 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.