Andrew Gallucci, PHD, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT5156 Issued in TX

Practice address

1 Bear PL Unit 97313
Waco, TX 76798-7313

Phone

(254) 710-4026

NPI assigned

Apr 27, 2016

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1461715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1245685254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N CEDAR RIDGE CIR",
            "city": "ROBINSON",
            "state": "TX",
            "postal_code": "767065685",
            "telephone_number": "254-400-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BEAR PL UNIT 97313",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767987313",
            "telephone_number": "254-710-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUCCI",
        "first_name": "ANDREW",
        "name_prefix": "Dr.",
        "credential": "PHD, ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-04-27",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT5156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Iliana Galindo, PT
• Cinthia Gallegos, MD
• Harmoni Suzanne Gallegos, CNP
• Ethan Bernard Gallery, RPH
• Amelia Gallo
• Chanel Galvan, M.S. CCC-SLP
• Kenya Galvan
• Leslie Vivian Gamez
• Liliana Gamino, NP-C
• Kristen Ann Gammel, LPC-ASSOCIATE

• Athletic Trainer in Waco, TX
• Providers in Waco, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.