Individual provider Active NPI

Ltrice Trinette Gulley, APN

  • Family Nurse Practitioner
  • Spring, TX
National Provider Identifier
1922660174
Registry record updated Jan 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
209018718 Issued in IL
Practice address
8111 Cypresswood Dr Ste 106
Spring, TX 77379-7180
Phone
(877) 448-3627
Fax
(866) 507-1164
NPI assigned
Jul 8, 2019
Last updated
Jan 31, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209018718 IL Primary

Addresses

Primary practice location

8111 Cypresswood Dr Ste 106
Spring, TX 77379-7180

Mailing address

901 McClintock Dr Ste 202
Burr Ridge, IL 60527-0872
Phone (630) 655-6748

Other practice location 1

14875 Southwest Fwy
Sugar Land, TX 77478-5016
Phone (877) 448-3627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190809000440 IL Practitioner - Nurse Practitioner 3476880790 Reassigns benefits to 1 organization
I20220407000119 TX Practitioner - Nurse Practitioner 3476880790 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11240 FM 1960 Rd W
Suite 404
Houston, TX 77065-3663
Phone (309) 886-3354

8111 Cypresswood Dr
Suite 106
Spring, TX 77379-7180
Phone (877) 448-3627

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pure One Infusion LLC Family CurrentSince Feb 6, 2025 Accepting new patients
Vpa of Texas PLLC CurrentSince May 5, 2024 Accepting new patients
Vpa of Texas PLLC Current Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Nov 13, 2023 Accepting new patients
Vpa of Texas PLLC CurrentSince May 5, 2024 Accepting new patients
Metro Infusion Center PLLC Past Accepting new patients
Southwest Texas Two Medical Group, PLLC Past Accepting new patients

Locations

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

4055 Valley View Ln
Ste 700
Dallas, TX 75244
Phone (469) 466-7420

11240 FM 1960 Rd W
Ste 404
Houston, TX 77065
Phone (281) 477-7686

12436 FM 1960 Rd W
Houston, TX 77065
Phone (346) 714-4112

4545 Fuller Dr
Ste 325
Irving, TX 75038
Phone (972) 870-5511

Organizations & group practices 8

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": "1562544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1922660174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "901 MCCLINTOCK DR STE 202",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605270872",
            "telephone_number": "630-655-6748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8111 CYPRESSWOOD DR STE 106",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773797180",
            "telephone_number": "877-448-3627",
            "fax_number": "866-507-1164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14875 Southwest Fwy",
            "address_purpose": "LOCATION",
            "city": "Sugar Land",
            "state": "TX",
            "postal_code": "774785016",
            "country_code": "US",
            "telephone_number": "877-448-3627",
            "fax_number": "866-507-1164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GULLEY",
        "first_name": "LTRICE",
        "middle_name": "TRINETTE",
        "credential": "APN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-07-08",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209018718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.