Active NPI
Amanda Gallimore
- School Psychologist
- Newport News, VA
National Provider Identifier
1104328434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Psychologist
- License
- 0813000729
- Practice address
- 1241 Gatewood Rd
Newport News, VA 23601-2313 - Phone
- (757) 591-4963
- NPI assigned
- Mar 2, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Psychologist | 103TS0200X | 0813000729 | VA | Primary |
Addresses
Primary practice location
1241 Gatewood Rd
Newport News, VA 23601-2313
Mailing address
1241 Gatewood Rd
Newport News, VA 23601-2313
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0813000729 | Medicaid | VA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0813000729 | VA | MD | School Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1519948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1519948800000",
"number": "1104328434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1241 GATEWOOD RD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1241 GATEWOOD RD",
"city": "NEWPORT NEWS",
"state": "VA",
"postal_code": "236012313",
"telephone_number": "757-591-4963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIMORE",
"first_name": "AMANDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-03-02",
"last_updated": "2018-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "103TS0200X",
"taxonomy_group": "",
"desc": "Psychologist, School",
"state": "VA",
"license": "0813000729",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0813000729",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Newport News, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.