Individual provider Active NPI

Alicia Marie Galahan

  • Psychiatric/Mental Health Nurse Practitioner
  • Helena, MT
National Provider Identifier
1093383341
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
176189 Issued in MT
Practice address
2755 Colonial Dr
Helena, MT 59601-4926
Phone
(406) 444-7500
NPI assigned
Jun 14, 2021
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 176189 MT Primary

Addresses

Primary practice location

2755 Colonial Dr
Helena, MT 59601-4926

Mailing address

2760 Favor Loop
Helena, MT 59601-8514
Phone (406) 551-5395

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240318002241 MT Practitioner - Nurse Practitioner 9032556782 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
176189MTMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Montana Children's Home & Hospital CurrentSince Feb 3, 2024 Accepting new patients
Montana Children's Home & Hospital Current Accepting new patients
Montana Children's Home & Hospital Psychiatric/Mental Health CurrentSince Feb 3, 2024 Accepting new patients

Locations

2720 10th Ave S
Great Falls, MT 59405
Phone (406) 455-2661

2620 Shodair Dr
Helena, MT 59601
Phone (406) 444-1125

2755 Colonial Dr
Helena, MT 59601
Phone (406) 444-7500

Organizations & group practices 3

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": "1623628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1093383341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 FAVOR LOOP",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018514",
            "telephone_number": "406-551-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 COLONIAL DR",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596014926",
            "telephone_number": "406-444-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALAHAN",
        "first_name": "ALICIA",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-14",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MT",
            "license": "176189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Helena, MT

Sources for this page

Verify at the official NPI Registry.