Active NPI
Dawn Ewing Galvez, FNP-C
- Family Nurse Practitioner
- Port Orchard, WA
National Provider Identifier
1003061722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AP60854090
- Practice address
- 450 S Kitsap Blvd Ste 100
Port Orchard, WA 98366-3709 - Phone
- (360) 744-6275
- Fax
- (253) 201-0490
- NPI assigned
- Nov 21, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 3731 | SC | |
| Family Nurse Practitioner | 363LF0000X | AP60854090 | WA | Primary |
Addresses
Primary practice location
450 S Kitsap Blvd Ste 100
Port Orchard, WA 98366-3709
Mailing address
450 S Kitsap Blvd Ste 100
Port Orchard, WA 98366-3709
Phone (360) 744-6275
Other practice location 1
128 Shadybrook Dr
Summerville, SC 29483-2384
Phone (843) 761-1886
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2111619 | Medicaid | WA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | dgalvez315692@fhsce.catholichealth.net | ||
| Direct Messaging Address | dgalvez315692@fhsce.catholichealth.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3731 | SC | MD | Physician Assistant |
| AP60854090 | WA | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Medical Group | Current | Accepting new patients |
Locations
2709 Hemlock St
Bremerton, WA 98310
Phone (360) 782-6000
Networks
- devoted network organization-83621310-88c0-4660-8f8d-b8ea8f4dc04e
- WA PPO C-SNP
Interoperability endpoints
- dgalvez315692@fhsce.catholichealth.net
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Silverdale, WA
- NPI 1093165334
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1003061722",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "450 S KITSAP BLVD STE 100",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663709",
"telephone_number": "360-744-6275",
"fax_number": "253-201-0490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "450 S KITSAP BLVD STE 100",
"city": "PORT ORCHARD",
"state": "WA",
"postal_code": "983663709",
"telephone_number": "360-744-6275",
"fax_number": "253-201-0490"
}
],
"practiceLocations": [
{
"address_1": "128 Shadybrook Dr",
"address_purpose": "LOCATION",
"city": "Summerville",
"state": "SC",
"postal_code": "294832384",
"country_code": "US",
"telephone_number": "843-761-1886",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALVEZ",
"first_name": "DAWN",
"middle_name": "EWING",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-21",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "3731",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "WA",
"license": "AP60854090",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2111619",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgalvez315692@fhsce.catholichealth.net",
"affiliation": "N",
"address_1": "450 S Kitsap Blvd Ste 100",
"city": "Port Orchard",
"state": "WA",
"country_code": "US",
"postal_code": "983663709",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "dgalvez315692@fhsce.catholichealth.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "450 S Kitsap Blvd Ste 100",
"city": "Port Orchard",
"state": "WA",
"country_code": "US",
"postal_code": "983663709",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Port Orchard, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.