Individual provider Active NPI

Cryatal Gallagher, PTA

  • Clinical Ethicist
  • Midland, TX
National Provider Identifier
1386035061
Registry record updated Feb 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical EthicistTaxonomy code 174V00000X
License
2021036 Issued in TX
Practice address
3311 Thomas Ave
Midland, TX 79703-6226
Phone
(432) 296-2538
NPI assigned
Feb 17, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Ethicist 174V00000X 2021036 TX Primary

Addresses

Primary practice location

3311 Thomas Ave
Midland, TX 79703-6226

Mailing address

3311 Thomas Ave
Midland, TX 79703-6226
Phone (432) 296-2538

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2021036TXMDClinical Ethicist

NPI Registry JSON

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

{
    "created_epoch": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424131200000",
    "number": "1386035061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3311 THOMAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797036226",
            "telephone_number": "432-296-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3311 THOMAS AVE",
            "city": "MIDLAND",
            "state": "TX",
            "postal_code": "797036226",
            "telephone_number": "432-296-2538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "CRYATAL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-17",
        "last_updated": "2015-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "TX",
            "license": "2021036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2015; 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.