Individual provider Active NPI

Katina Nicole Gallaher, RN

  • Community Health Registered Nurse
  • Decatur, TN
National Provider Identifier
1194946426
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
RN0000150460 Issued in TN
Practice address
389 River Rd
Decatur, TN 37322-7801
Phone
(423) 334-5185
Fax
(423) 334-1713
NPI assigned
May 2, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X RN0000150460 TN Primary

Addresses

Primary practice location

389 River Rd
Decatur, TN 37322-7801

Mailing address

179 Hillcrest Cir
Decatur, TN 37322-7965
Phone (423) 834-2087

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN0000150460TNMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
State of Tennessee Past Accepting new patients
State of Tennessee Past Accepting new patients

Organizations & group practices 2

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194946426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "179 HILLCREST CIR",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373227965",
            "telephone_number": "423-834-2087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "389 RIVER RD",
            "city": "DECATUR",
            "state": "TN",
            "postal_code": "373227801",
            "telephone_number": "423-334-5185",
            "fax_number": "423-334-1713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAHER",
        "first_name": "KATINA",
        "middle_name": "NICOLE",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "TN",
            "license": "RN0000150460",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.