Active NPI
Tracy Ruth Gallagher, CPNP
- Pediatric Nurse Practitioner
- Hammond, LA
National Provider Identifier
1396888970
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- APO5128
- Practice address
- 19100 Dr John Lambert Dr
Hammond, LA 70403-0922 - Phone
- (985) 247-4567
- Fax
- (985) 467-0896
- NPI assigned
- Feb 14, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | APO5128 | LA | Primary |
Addresses
Primary practice location
19100 Dr John Lambert Dr
Hammond, LA 70403-0922
Mailing address
38085 Highway 621
Gonzales, LA 70737-6052
Phone (225) 252-5644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1004529 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
19100 Dr John Lambert Dr
Hammond, LA 70403-0922
Phone 9852474567204
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Pediatric Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APO5128 | LA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Convenient Care LLC | Current | Accepting new patients | |
| Family Healthcare of Loranger, LLC | Current | Accepting new patients | |
| Professional Emergency Physician Associates, LLC | Past | Accepting new patients | |
| Diabetes Care Solution, LLC | Past | Accepting new patients |
Locations
12525 Perkins Rd
#B
Baton Rouge, LA 70810
Phone (225) 819-8857
54002 Highway 1062
Loranger, LA 70446
Phone (985) 606-2273
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1164422630
-
- Rural Health Clinic/Center
- Hammond, LA
- NPI 1245509975
-
- Urgent Care Clinic/Center
- Hammond, LA
- NPI 1225119225
-
- Urgent Care Clinic/Center
- Baton Rouge, LA
- NPI 1518250356
-
- Rural Health Clinic/Center
- Loranger, LA
- NPI 1992172621
-
- Emergency Medicine Physician
- Baton Rouge, LA
- NPI 1992758247
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1731369600000",
"number": "1396888970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "38085 HIGHWAY 621",
"city": "GONZALES",
"state": "LA",
"postal_code": "707376052",
"telephone_number": "225-252-5644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19100 DR JOHN LAMBERT DR",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704030922",
"telephone_number": "985-247-4567",
"fax_number": "985-467-0896"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "TRACY",
"middle_name": "RUTH",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-14",
"last_updated": "2024-11-12",
"certification_date": "2024-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "LA",
"license": "APO5128",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1004529",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.