Individual provider Active NPI

Steven B Gallaway, RN, FNP, BC

  • Family Nurse Practitioner
  • Plano, TX
National Provider Identifier
1295704401
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
824908 Issued in TX
Practice address
6300 West Parker Road
Suite 125, Mob II
Plano, TX 75093
Phone
(469) 800-4400
Fax
(469) 800-4410
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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 824908 TX Primary

Addresses

Primary practice location

6300 West Parker Road
Suite 125, Mob II
Plano, TX 75093

Mailing address

6300 West Parker Road
Suite 125, Mob II
Plano, TX 75093
Phone (469) 800-4400

Other identifiers 1

IdentifierTypeStateIssuer
3069254-01MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sgallaway220987@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120919000405 TX Practitioner - Nurse Practitioner 6800923590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

6000 W Spring Creek Pkwy
220 Baylor Scott and White Cardiovascular Con
Plano, TX 75024-3578
Phone (469) 800-4400

821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
824908TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Aug 6, 2012 Accepting new patients
Healthtexas Provider Network CurrentSince Aug 6, 2012 Accepting new patients
Ozarks Medical Center Past Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

6000 W Spring Creek Pkwy
Ste 220
Plano, TX 75024
Phone (469) 800-4400

6300 W Parker Rd
Ste 125
Plano, TX 75093
Phone (469) 568-0400

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

Interoperability endpoints

  • Direct secure messaging: sgallaway220987@direct.sw.org

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1295704401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6300 WEST PARKER ROAD",
            "address_2": "SUITE 125, MOB II",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-800-4400",
            "fax_number": "469-800-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6300 WEST PARKER ROAD",
            "address_2": "SUITE 125, MOB II",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "75093",
            "telephone_number": "469-800-4400",
            "fax_number": "469-800-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAWAY",
        "first_name": "STEVEN",
        "middle_name": "B",
        "credential": "RN, FNP, BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "824908",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3069254-01",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sgallaway220987@direct.sw.org",
            "affiliation": "N",
            "address_1": "6000 W Spring Creek Pkwy Ste 220",
            "city": "Plano",
            "state": "TX",
            "country_code": "US",
            "postal_code": "750244128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.