Organization Active NPI

Gallian Medical, PLLC

  • Family Nurse Practitioner
  • Knoxville, TN
National Provider Identifier
1245680008
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000017235 Issued in TN
Legal business name
GALLIAN MEDICAL, PLLC
Practice address
10744 Hardin Valley Rd
Knoxville, TN 37932-1407
Phone
(865) 258-9945
NPI assigned
Jun 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Maureen Laporte
Title
Practice Manager
Phone
(865) 258-9945

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X APN0000017235 TN Primary

Addresses

Primary practice location

10744 Hardin Valley Rd
Knoxville, TN 37932-1407

Mailing address

10744 Hardin Valley Rd
Knoxville, TN 37932-1407
Phone (865) 258-9945

Other identifiers 1

IdentifierTypeStateIssuer
Q000758MedicaidTN

National Provider Directory

National Provider Directory

Locations

10744 Hardin Valley Rd
Knoxville, TN 37932
Phone (865) 258-9945

10744 Hardin Valley Rd
Ste 106
Knoxville, TN 37932
Phone (865) 357-3790

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1465776000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1245680008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10744 HARDIN VALLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321407",
            "telephone_number": "865-258-9945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10744 HARDIN VALLEY RD",
            "city": "KNOXVILLE",
            "state": "TN",
            "postal_code": "379321407",
            "telephone_number": "865-258-9945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLIAN MEDICAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-13",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "LAPORTE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "865-258-9945"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000017235",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q000758",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.