Individual provider Active NPI

Kyle Gallant, DNP, AGPCNP-BC

  • Nurse Practitioner
  • Warwick, RI
National Provider Identifier
1083107338
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN57490 Issued in RI
Practice address
475 Kilvert St
Warwick, RI 02886-1379
Phone
(401) 732-7406
Fax
(855) 230-1037
NPI assigned
Jun 12, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN57490 RI Primary

Addresses

Primary practice location

475 Kilvert St
Warwick, RI 02886-1379

Mailing address

64 Willow St
Fall River, MA 02720-4626
Phone (774) 406-9513

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, RI2 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
I20200110000920 MA Practitioner - Nurse Practitioner 8729330725
I20200110001258 RI Practitioner - Nurse Practitioner 8729330725 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN57490RIMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BHG Lxxix, LLC CurrentSince Jan 8, 2023 Accepting new patients
The Journey Hope, Health & Healing, Inc Current Accepting new patients
BHG Lxxix, LLC CurrentSince Aug 19, 2025 Accepting new patients
BHG Lxxix, LLC CurrentSince Aug 19, 2025 Accepting new patients
Avenir Ventures LLC CurrentSince Dec 12, 2019 Accepting new patients
The Journey to Hope, Health & Healing, Inc Current Accepting new patients
BHG Lvii, LLC Past Accepting new patients
BHG Lvii, LLC Past Accepting new patients
BHG Lvii, LLC Past Accepting new patients
BHG Lvii, LLC Past Accepting new patients
BHG Lvii, LLC Past Accepting new patients

Locations

3854 American Way
Ste A
Baton Rouge, LA 70816
Phone (225) 299-3253

1 Catamore Blvd
East Providence, RI 02914
Phone (401) 438-0008

985 Plainfield St
Johnston, RI 02919
Phone (401) 601-5476

26 Valley Rd
Ste 202
Middletown, RI 02842
Phone (401) 522-4673

82 Pond St
Rm 100
Pawtucket, RI 02860
Phone (401) 727-1287

82 Pond St
Pawtucket, RI 02860
Phone (401) 727-1287

160 Narragansett Ave
Providence, RI 02907
Phone (401) 491-4488

86 Beach St
Westerly, RI 02891
Phone (401) 596-0969

5001 Spring Vly
Ste 600E
Dallas, TX 75244

Organizations & group practices 11

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": "1528761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1083107338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 WILLOW ST",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027204626",
            "telephone_number": "774-406-9513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 KILVERT ST",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028861379",
            "telephone_number": "401-732-7406",
            "fax_number": "855-230-1037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "KYLE",
        "name_prefix": "Dr.",
        "credential": "DNP, AGPCNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-12",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "RI",
            "license": "RN57490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

Verify at the official NPI Registry.