Individual provider Active NPI

Heather Martin Gallego, FNP

  • Family Nurse Practitioner
  • New York, NY
National Provider Identifier
1386997872
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F340926 Issued in NY
Practice address
101 Avenue of the Americas FL 8
New York, NY 10013-1905
Phone
(844) 326-3115
NPI assigned
Oct 21, 2012
Last updated
Aug 21, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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 F340926 NY Primary

Addresses

Primary practice location

101 Avenue of the Americas FL 8
New York, NY 10013-1905

Mailing address

333 Commerce St
Suite 700
Nashville, TN 37201-1835
Phone (631) 278-3728

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA, TX, AZ, TN, NV, IA7 enrollments
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 7

Enrollment IDStateProvider typePAC IDDetails
I20170926001030 NY Practitioner - Nurse Practitioner 1153695432
I20241129000297 CA Practitioner - Nurse Practitioner 1153695432 Reassigns benefits to 1 organization
I20250125000039 TX Practitioner - Nurse Practitioner 1153695432 Reassigns benefits to 1 organization
I20250128003875 AZ Practitioner - Nurse Practitioner 1153695432 Reassigns benefits to 1 organization
I20250211003311 TN Practitioner - Nurse Practitioner 1153695432 Reassigns benefits to 1 organization
I20250211003701 NV Practitioner - Nurse Practitioner 1153695432 Reassigns benefits to 1 organization
I20250501002991 IA Practitioner - Nurse Practitioner 1153695432 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carelon Medical Partners of Arizona PCGroup PAC ID 6406010552, shared by 3 NPIs, 15 clinicians
Albion Medical Group of Nevada, PCGroup PAC ID 4183891294, 23 clinicians

Practice addresses (Care Compare)

1169 Jefferson Ave
Memphis, TN 38104-7217
Phone (901) 229-2283

1530 E Euclid Ave
Des Moines, IA 50313-4726
Phone (515) 989-6001

3150 N Tenaya Way
Suite 100
Las Vegas, NV 89128-0446
Phone (702) 869-9200

512 W Rosedale St
Fort Worth, TX 76104-4619
Phone (817) 289-8300

7091 E Speedway Blvd
Tucson, AZ 85710-1241
Phone (520) 721-5777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
F340926NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Albion Medical Partners of California West P C CurrentSince Nov 4, 2024 Accepting new patients
Carelon Medical Partners of Arizona PC CurrentSince Apr 16, 2025 Accepting new patients
Albion Medical Group of Nevada, PC CurrentSince Jan 10, 2025 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Nov 23, 2024 Accepting new patients
Carelon Medical Partners of Arizona, P.C. CurrentSince Nov 23, 2024 Accepting new patients

Locations

4705 S Landing Way
Tucson, AZ 85714
Phone (520) 294-1740

7091 E Speedway Blvd
Tucson, AZ 85710
Phone (520) 402-6092

12900 Park Plaza Dr
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800

12900 Park Plaza Dr
Ste 700
Cerritos, CA 90703
Phone (562) 622-2800

1530 E Euclid Ave
Des Moines, IA 50313
Phone (515) 262-0404

100 N Green Valley Pkwy
Ste 220
Henderson, NV 89074
Phone (702) 944-3627

3150 N Tenaya Way
Ste 100
Las Vegas, NV 89128
Phone (702) 233-4950

512 W Rosedale St
Fort Worth, TX 76104
Phone (817) 289-8263

Interoperability endpoints

  • Direct secure messaging: gallego.heather.p4@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: heather.gallego.1@32527.direct.athenahealth.com
  • Direct secure messaging: heather.gallego.p1@direct.caremoreagp.nextgenshare.com
  • Direct secure messaging: heather.gallego.p1@direct.caremorewest.nextgenshare.com
  • Direct secure messaging: heather.gallego.p5@direct.caremoreagp.nextgenshare.com
  • Direct secure messaging: heather.gallego.p5@direct.caremorewest.nextgenshare.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1350777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724198400000",
    "number": "1386997872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 COMMERCE ST",
            "address_2": "SUITE 700",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372011835",
            "telephone_number": "631-278-3728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 AVENUE OF THE AMERICAS FL 8",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100131905",
            "telephone_number": "844-326-3115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGO",
        "first_name": "HEATHER",
        "middle_name": "MARTIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-21",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F340926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.