Megan Dedra Gallagher, MSED, ATC, VATL

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

0126001143 Issued in VA

Practice address

4301 Cedar LN
Portsmouth, VA 23703-2074

Phone

(757) 613-1388

NPI assigned

Jan 4, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Megan Gleason Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1262563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1104156751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 GATEWAY DR APT 2D",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237035016",
            "telephone_number": "757-613-1388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 CEDAR LN",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237032074",
            "telephone_number": "757-613-1388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "MEGAN",
        "middle_name": "DEDRA",
        "name_prefix": "Ms.",
        "credential": "MSED, ATC, VATL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-04",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "VA",
            "license": "0126001143",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MEGAN",
            "last_name": "GLEASON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• George Hanson Futch Jr., PHARMD
• Damaris Gachungi
• Shannon Elizabeth Gaffney, HS
• Cynthia Yvette Gainey
• Levan Gakhokidze, MD
• Eric Gallos, PSYD
• Cortney Shayvon Galloway, NP
• Jana Lentzner Galyo, PA-C
• Alexis M Gambrell, MED, ATC, LAT
• Sam Wei Gao, MD

• Athletic Trainer in Portsmouth, VA
• Providers in Portsmouth, VA by specialty
• Athletic Trainer in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.