Kristin M Gallop, NURSE PRACTITIONER

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

CNP231493 Issued in ME

Practice address

59 Bangor St
Houlton, ME 04730-1740

Phone

(207) 538-3700

NPI assigned

Jul 14, 2006

Reactivated

Oct 20, 2023

Last updated

Feb 6, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in ME

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/7377/brand/1/csg/1/fhir/r4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Houlton, ME
  • NPI 1376618546
  Medicare reassignment NPD
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Millinocket, ME
  • NPI 1003034406
  NPD
• Katahdin Valley Health Center

  • Community/Retail Pharmacy
  • Brownville, ME
  • NPI 1699479311
  NPD
• GHC LLC

  dba Gardiner Healthcare Facility

  • Assisted Living Facility
  • Houlton, ME
  • NPI 1174398812
  NPD (past)
• Katahdin Valley Health Center

  • Federally Qualified Health Center (FQHC)
  • Patten, ME
  • NPI 1669450524
  NPD (past)
• Maple Grove Nursing Home Inc

  dba Madigan Estates

  • Nursing Facility/Intermediate Care Facility
  • Houlton, ME
  • NPI 1871614859
  NPD (past)

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1336165356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "529 S PATTEN RD",
            "city": "PATTEN",
            "state": "ME",
            "postal_code": "047653007",
            "telephone_number": "207-538-3700",
            "fax_number": "207-528-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "59 BANGOR ST",
            "city": "HOULTON",
            "state": "ME",
            "postal_code": "047301740",
            "telephone_number": "207-538-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOP",
        "first_name": "KRISTIN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "deactivation_date": "2023-10-11",
        "reactivation_date": "2023-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "ME",
            "license": "CNP231493",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "ME",
            "license": "CNP231493",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "ME",
            "license": "CNP231493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lorraine Folsom, DPT
• Tammy Fortier, N.P.
• Kim Ellen Fox, RN
• Colleen C Frost
• Leanne Rose Gallant, PHARMD
• Gardiner Health Care Facility Inc
• Gateways, PA
• GHC LLC (Gardiner Healthcare Facility)
• Bruce Glick, PHD
• Pamela Rust Glidden, LCSW

• Primary Care Nurse Practitioner in Houlton, ME
• Providers in Houlton, ME by specialty
• Primary Care Nurse Practitioner in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.