Individual provider Active NPI

Martin L Galliano III, FNP

  • Family Nurse Practitioner
  • New Orleans, LA
National Provider Identifier
1225593130
Registry record updated Jan 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
203633 Issued in LA
Practice address
231 N Carrollton Ave
New Orleans, LA 70119-5158
Phone
(504) 218-4853
Fax
(504) 218-4890
NPI assigned
Feb 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 203633 LA Primary

Addresses

Primary practice location

231 N Carrollton Ave
New Orleans, LA 70119-5158

Mailing address

1514 Jefferson Hwy
New Orleans, LA 70121-2429
Phone (504) 842-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20211122000922 LA Practitioner - Nurse Practitioner 2365831963 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
203633LAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC Current Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
Ochsner Clinic LLC CurrentSince Nov 15, 2021 Accepting new patients
MHM Urgent Care Mid-City, LLC Urgent Care PastSince Nov 21, 2021 Accepting new patients
Doctors After Hours Urgent Care & Walk in Clinic - Lakeview L.L.C. Urgent Care Past Accepting new patients

Locations

1111 Greengate Dr
Ste B
Covington, LA 70433
Phone (985) 246-2420

1514 Jefferson Hwy
New Orleans, LA 70121

231 N Carrollton Ave
Ste B
New Orleans, LA 70119
Phone (504) 218-4853

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704844800000",
    "number": "1225593130",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HWY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 N CARROLLTON AVE",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701195158",
            "telephone_number": "504-218-4853",
            "fax_number": "504-218-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIANO",
        "first_name": "MARTIN",
        "middle_name": "L",
        "name_suffix": "III",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2024-01-10",
        "certification_date": "2024-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "LA",
            "license": "203633",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.