Individual provider Active NPI

Virginia Heathman McGalin, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Beaumont, TX
National Provider Identifier
1265753222
Registry record updated Jun 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
595065 Issued in TX
Practice address
1050 S 11TH St
Beaumont, TX 77701-4739
Phone
(409) 832-2306
Fax
(409) 832-8199
NPI assigned
Jun 14, 2010
Last updated
Jun 14, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2010

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 595065 TX Primary

Addresses

Primary practice location

1050 S 11TH St
Beaumont, TX 77701-4739

Mailing address

1050 S 11TH St
Beaumont, TX 77701-4739
Phone (409) 832-2306

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)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
595065TXMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276473600000",
    "number": "1265753222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 S 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014739",
            "telephone_number": "409-832-2306",
            "fax_number": "409-832-8199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 S 11TH ST",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777014739",
            "telephone_number": "409-832-2306",
            "fax_number": "409-832-8199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCGALIN",
        "first_name": "VIRGINIA",
        "middle_name": "HEATHMAN",
        "name_prefix": "Ms.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2010-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "595065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2010; 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.