Active NPI
Tara Leigh Gallaway, FNP-C
- Family Nurse Practitioner
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1110293
- Practice address
- 4500 S Lancaster Rd
Dallas, TX 75216-7167 - Phone
- (214) 742-8387
- NPI assigned
- Jun 27, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | C-RXN.0100240-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 5010665 | NC | |
| Family Nurse Practitioner | 363LF0000X | TPAN2573 | FL | |
| Family Nurse Practitioner | 363LF0000X | C-APN.0100334-C-NP | CO | |
| Family Nurse Practitioner | 363LF0000X | 1110293 | TX | Primary |
Addresses
Primary practice location
4500 S Lancaster Rd
Dallas, TX 75216-7167
Mailing address
8533 Tenon Dr Apt 5106
Fort Worth, TX 76177-8094
Phone (757) 389-1292
Other practice location 1
111 N Orange Ave Ste 800
Orlando, FL 32801-2381
Phone (888) 731-8994
Other practice location 2
8813 N Tarrant Pkwy Ste 208
North Richland Hills, TX 76182-8410
Phone (817) 935-8254
Other practice location 3
112 Maverick Ct
Granbury, TX 76049-1381
Phone (888) 731-8994
Other practice location 4
999 18th St Ste 3000
Denver, CO 80202-2449
Phone (888) 731-8994
Other names 1
- Tara Leigh Terrell
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
| License | State | Type | Specialty |
|---|---|---|---|
| C-APN.0100334-C-NP | CO | MD | Family Nurse Practitioner |
| C-RXN.0100240-C-NP | CO | MD | Family Nurse Practitioner |
| TPAN2573 | FL | MD | Family Nurse Practitioner |
| 5010665 | NC | MD | Family Nurse Practitioner |
| 1110293 | TX | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrative Womens Care PC | Past | Accepting new patients |
Interoperability endpoints
- taraterrell@chanc.allscriptsdirect.net
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1530057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1737072000000",
"number": "1346735842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8533 TENON DR APT 5106",
"city": "FORT WORTH",
"state": "TX",
"postal_code": "761778094",
"telephone_number": "757-389-1292"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4500 S LANCASTER RD",
"city": "DALLAS",
"state": "TX",
"postal_code": "752167167",
"telephone_number": "214-742-8387"
}
],
"practiceLocations": [
{
"address_1": "111 N Orange Ave Ste 800",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328012381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8813 N Tarrant Pkwy Ste 208",
"address_purpose": "LOCATION",
"city": "North Richland Hills",
"state": "TX",
"postal_code": "761828410",
"country_code": "US",
"telephone_number": "817-935-8254",
"fax_number": "817-864-1650",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "112 Maverick Ct",
"address_purpose": "LOCATION",
"city": "Granbury",
"state": "TX",
"postal_code": "760491381",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "999 18th St Ste 3000",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "CO",
"postal_code": "802022449",
"country_code": "US",
"telephone_number": "888-731-8994",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAWAY",
"first_name": "TARA",
"middle_name": "LEIGH",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-27",
"last_updated": "2025-01-17",
"certification_date": "2025-01-17",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-RXN.0100240-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NC",
"license": "5010665",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "TPAN2573",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CO",
"license": "C-APN.0100334-C-NP",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "TX",
"license": "1110293",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TARA",
"last_name": "TERRELL",
"middle_name": "LEIGH",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.