Bonnie Lou Gallo, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

0024107857 Issued in VA

Practice address

225 Clearfield Ave
Virginia Beach, VA 23462-1815

Phone

(757) 457-5480

Fax

(757) 819-7481

NPI assigned

May 27, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

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.

• Urology of Virginia PC

  • Durable Medical Equipment & Medical Supplies
  • Norfolk, VA
  • NPI 1407985641
  NPD (past)
• Urology of Virginia, PC

  • Urology Physician
  • Norfolk, VA
  • NPI 1417935636
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322006400000",
    "number": "1194772210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-457-5480",
            "fax_number": "757-819-7481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 CLEARFIELD AVE",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234621815",
            "telephone_number": "757-457-5480",
            "fax_number": "757-819-7481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "BONNIE",
        "middle_name": "LOU",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-27",
        "last_updated": "2011-11-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "VA",
            "license": "0024107857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "10010604N",
            "state": "VA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "101297877",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Gallagher
• Amy L Gallardo, FNP, PMHNP-BC
• Susan Ann Gallenz, LCSW
• Susan Gallicchio, LCSW
• Anne Mullins Gallion, RN, BSN, IBCLC
• Chatavia Gallon
• Jennifer Gallop, PHARMD
• Lenora Elisha Gallop
• Yvette Galloway- McGill
• Ashley Skye Galownia

• All providers in Virginia Beach, VA
• Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2011; 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.