Active NPI
Michelle M Gallo, RN NP
- Nurse Practitioner
- Phoenix, AZ
National Provider Identifier
1083781405
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 096
- Practice address
- 3346 W Bell Rd
Phoenix, AZ 85053 - Phone
- (602) 993-2580
- Fax
- (602) 843-8914
- NPI assigned
- Nov 29, 2006
- 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 |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | RN035809 | AZ | |
| Nurse Practitioner | 363L00000X | 096 | AZ | Primary |
Addresses
Primary practice location
3346 W Bell Rd
Phoenix, AZ 85053
Mailing address
4351 W Wahalla LN
Glendale, AZ 85308-7345
Phone (623) 492-9131
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
- Credentials
- Nurse Practitioner, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 096 | AZ | MD | Nurse Practitioner |
| RN035809 | AZ | MD | Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1083781405",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4351 W WAHALLA LN",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853087345",
"telephone_number": "623-492-9131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3346 W BELL RD",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "85053",
"telephone_number": "602-993-2580",
"fax_number": "602-843-8914"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLO",
"first_name": "MICHELLE",
"middle_name": "M",
"name_prefix": "Ms.",
"credential": "RN NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "RN035809",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AZ",
"license": "096",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.