Individual provider Active NPI

Amanda L Galloway, NP

  • Nurse Practitioner
  • Newark, DE
National Provider Identifier
1154746832
Registry record updated Mar 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
L1-0035174 Issued in DE
Practice address
4755 Ogletown Stanton Rd
Suite 1320
Newark, DE 19718-2200
Phone
(302) 733-4280
NPI assigned
Mar 4, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X L1-0035174 DE Primary

Addresses

Primary practice location

4755 Ogletown Stanton Rd
Suite 1320
Newark, DE 19718-2200

Mailing address

PO Box 30170
Wilmington, DE 19805-7170
Phone (302) 623-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
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
I20140512002017 DE Practitioner - Nurse Practitioner 3971736224 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

19161 Healthy Way
Rehoboth Beach, DE 19971-4491
Phone (302) 645-3300

21635 Biden Ave
Georgetown, DE 19947-4574
Phone (302) 260-7360

23900 Milton Ellendale Hwy
Milton, DE 19968-2714
Phone (302) 684-5635

28538 Dupont Blvd
Millsboro, DE 19966-4791
Phone (302) 934-0944

32550 Docs PL
Unit 2
Millville, DE 19967-6975
Phone (302) 539-4302

32556 Docs PL
Millville, DE 19967-6953
Phone (302) 645-9325

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L1-0035174DEMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. CurrentSince Nov 26, 2018 Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner Current Accepting new patients
Christiana Care Health Services, Inc Nurse Practitioner CurrentSince Mar 19, 2014 Accepting new patients
Christiana Care Health Services Inc CurrentSince Mar 19, 2014 Accepting new patients

Locations

29772 Armory Rd
Dagsboro, DE 19939
Phone (302) 732-3680

17099 County Seat Hwy
#1250
Georgetown, DE 19947

1515 Savannah Rd
Lewes, DE 19958

1250 Kings Hwy
Lewes, DE 19958
Phone (302) 644-2946

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

4755 Ogletown Stanton Rd
Ste 1320
Newark, DE 19718
Phone (302) 733-4280

4701 Ogletown Stanton Rd
Ste 1500
Newark, DE 19713
Phone (302) 623-4343

18947 John J Williams Hwy
Unit 213
Rehoboth Beach, DE 19971
Phone (302) 600-1124

1401 Foulk Rd
Ste 100B
Wilmington, DE 19803
Phone (302) 320-9440

Interoperability endpoints

  • Direct secure messaging: agalloway19295@beebehealth.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1393891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393891200000",
    "number": "1154746832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30170",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198057170",
            "telephone_number": "302-623-7200",
            "fax_number": "302-623-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 OGLETOWN STANTON RD",
            "address_2": "SUITE 1320",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197182200",
            "telephone_number": "302-733-4280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "AMANDA",
        "middle_name": "L",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-04",
        "last_updated": "2014-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "L1-0035174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.