Individual provider Active NPI

Dawn Ewing Galvez, FNP-C

  • Family Nurse Practitioner
  • Port Orchard, WA
National Provider Identifier
1003061722
Registry record updated Dec 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP60854090 Issued in WA
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

Updated by the provider on Dec 3, 2020

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 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

IdentifierTypeStateIssuer
2111619MedicaidWA

Electronic endpoints 2

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3731SCMDPhysician Assistant
AP60854090WAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.