Individual provider Active NPI

Allison Mary Galloway, FNP-C

  • Family Nurse Practitioner
  • Boulder, CO
National Provider Identifier
1174559835
Registry record updated Mar 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
168144 Issued in CO
Practice address
5377 Manhattan Cir Ste 204
Boulder, CO 80303-4345
Phone
(720) 465-9272
NPI assigned
Jun 24, 2006
Last updated
Mar 14, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 0004959 CO
Family Nurse Practitioner 363LF0000X 168144 CO Primary
Medical-Surgical Registered Nurse 163WM0705X 168144 CO

Addresses

Primary practice location

5377 Manhattan Cir Ste 204
Boulder, CO 80303-4345

Mailing address

11659 Newton PL
Westminster, CO 80031-5129
Phone (720) 317-8445

Other practice location 1

11659 Newton Pl
Westminster, CO 80031-5129
Phone (720) 317-8445

Other names 1

  • Allison Mary Van Fleet Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20241017003253 CO Order and Referring Only - Nurse Practitioner 8527061795

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
168144COMDMedical-Surgical Registered Nurse
0004959COMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Allison Galloway Inc. CurrentSince Jul 4, 2021 Accepting new patients
Advanced Surgical Associates, PC PastSince Sep 4, 2007 Accepting new patients
Colorado Bariatric Surgery Institute Inc Past Accepting new patients
Allison Galloway LLC Family Past Accepting new patients

Locations

5377 Manhattan Cir
Ste 204
Boulder, CO 80303
Phone (303) 396-8084

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4826/brand/1/csg/1/fhir/r4

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, 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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741910400000",
    "number": "1174559835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11659 NEWTON PL",
            "city": "WESTMINSTER",
            "state": "CO",
            "postal_code": "800315129",
            "telephone_number": "720-317-8445",
            "fax_number": "720-851-1614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5377 MANHATTAN CIR STE 204",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803034345",
            "telephone_number": "720-465-9272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11659 Newton Pl",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "CO",
            "postal_code": "800315129",
            "country_code": "US",
            "telephone_number": "720-317-8445",
            "fax_number": "720-851-1614",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "ALLISON",
        "middle_name": "MARY",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2025-03-14",
        "certification_date": "2025-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CO",
            "license": "0004959",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "168144",
            "primary": true
        },
        {
            "code": "163WM0705X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Medical-Surgical",
            "state": "CO",
            "license": "168144",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "VAN FLEET",
            "middle_name": "MARY",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boulder, CO

Sources for this page

Verify at the official NPI Registry.