Eduardo Gallardo, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN229452 Issued in GA

Practice address

1102 W Waugh St
Dalton, GA 30720-8769

Phone

(706) 277-2321

Fax

(706) 428-2812

NPI assigned

Aug 24, 2015

Sex

Male

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

• Eduardo Gallardo Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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

{
    "created_epoch": "1440374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440374400000",
    "number": "1144697251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9511 WEIDNER LN",
            "city": "OOLTEWAH",
            "state": "TN",
            "postal_code": "373634874",
            "telephone_number": "956-640-5204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1102 W WAUGH ST",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208769",
            "telephone_number": "706-277-2321",
            "fax_number": "706-428-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "EDUARDO",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-08-24",
        "last_updated": "2015-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN229452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EDUARDO",
            "last_name": "GALLARDO",
            "credential": "NP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• James M. Frix, MD
• Richard F Fromm, M.D.
• Joseph Fulton, CRNA
• Nicholas S Galanopoulos, MD
• Jamie Lynn Gallagher, CNM, NP-C
• Jazmin Gandarilla
• German Jose Garcia, MD
• Julia Garcia, M.D.
• Raul Garcia, DPT
• Donna Michelle Gardner, LMT

• Family Nurse Practitioner in Dalton, GA
• Providers in Dalton, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2015; 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.