Active NPI
Rachel Gallagher
- Pediatric Registered Nurse
- Madison, WI
National Provider Identifier
1427450857
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Registered Nurse
- License
- 74556
- Practice address
- 230 Schenk St
Madison, WI 53714-2331 - Phone
- (608) 204-1504
- Fax
- (608) 204-0539
- NPI assigned
- Sep 17, 2014
- Sex
- Female
- Sole proprietor
- Yes
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 Registered Nurse | 163WP0200X | 74556 | WI | Primary |
Addresses
Primary practice location
230 Schenk St
Madison, WI 53714-2331
Mailing address
6790 Moon Light Cir
Sun Prairie, WI 53590-9112
Phone (608) 217-3440
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12345410224 | Medicaid | WI |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 74556 | WI | MD | Pediatric Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1410912000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1410912000000",
"number": "1427450857",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6790 MOON LIGHT CIR",
"city": "SUN PRAIRIE",
"state": "WI",
"postal_code": "535909112",
"telephone_number": "608-217-3440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 SCHENK ST",
"city": "MADISON",
"state": "WI",
"postal_code": "537142331",
"telephone_number": "608-204-1504",
"fax_number": "608-204-0539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "RACHEL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-09-17",
"last_updated": "2014-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "163WP0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Pediatrics",
"state": "WI",
"license": "74556",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "12345410224",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.