Becky Gallimore, NP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

RN280568 Issued in MA

Practice address

562 Washington St
South Attleboro, MA 02703-6942

Phone

(508) 761-5650

Fax

(508) 761-9870

NPI assigned

Jul 20, 2020

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

• Becky Michel Former name

Medicare fee-for-service enrollment

Enrolled in MA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Family Medicine Associates of South Attleboro, P.C.

  • Family Medicine Physician
  • South Attleboro, MA
  • NPI 1750309431
  Medicare reassignment NPD
• Healthdrive Behavioral Health Services, PLLC

  • Geriatric Psychiatry Physician
  • Middletown, CT
  • NPI 1760909279

  MA

  Medicare reassignment NPD

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

{
    "created_epoch": "1595203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597968000000",
    "number": "1194333781",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "562 WASHINGTON ST",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036942",
            "telephone_number": "508-761-5650",
            "fax_number": "508-761-9870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "562 WASHINGTON ST",
            "city": "SOUTH ATTLEBORO",
            "state": "MA",
            "postal_code": "027036942",
            "telephone_number": "508-761-5650",
            "fax_number": "508-761-9870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIMORE",
        "first_name": "BECKY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-20",
        "last_updated": "2020-08-21",
        "certification_date": "2020-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "RN280568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BECKY",
            "last_name": "MICHEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amanda Devens
• Jordan Elizabeth Devine
• Kelsey Duffy-Protentis, PHARMD
• Family Medicine Associates of South Attleboro, P.C.
• Jeniimarie Febres, PHD
• Christopher Garofalo, M.D,
• Gentle Home Care LLC
• Michael Geoghegan, PMHNP-BC
• George Family Orthodontics Inc
• Kelsey A George

• Primary Care Nurse Practitioner in South Attleboro, MA
• Providers in South Attleboro, MA by specialty
• Primary Care Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.