Active NPI
Tina Marie Galey, ARNP
- Nurse Practitioner
- Astoria, OR
National Provider Identifier
1437229366
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 200450118NP
- Practice address
- 2158 Exchange St
Suite 304
Astoria, OR 97103-3316 - Phone
- (503) 325-8315
- NPI assigned
- Nov 8, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 097000368RN | OR | |
| Family Nurse Practitioner | 363LF0000X | 200450118NP | OR | |
| Nurse Practitioner | 363L00000X | 200450118NP | OR | Primary |
Addresses
Primary practice location
2158 Exchange St
Suite 304
Astoria, OR 97103-3316
Mailing address
2158 Exchange St # 304
Astoria, OR 97103-3316
Phone (503) 325-8315
Other practice location 1
401 SW Belair Dr
Clatskanie, OR 97016-7415
Phone (503) 728-5088
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437229366 | Medicaid | WA | |
| 381852 | Other | OR | MEDICARE: FQHC |
| 231893 | Other | OR | MEDICAID: FQHC |
| 247358 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- 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, 2004
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11900 SW Greenburg Rd
Tigard, OR 97223-6453
Phone (503) 620-5556
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097000368RN | OR | MD | Nurse Practitioner |
| 200450118NP | OR | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cynthia Gulick, PC | Family | Current | Accepting new patients |
| Clatskanie Family Health Center | Family | Past | Accepting new patients |
| My Other Me | Past | Accepting new patients |
Locations
11900 SW Greenburg Rd
Tigard, OR 97223
Phone (503) 386-5424
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Tigard, OR
- NPI 1467675009
-
- Gynecology Physician
- Portland, OR
- NPI 1801462080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162944000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1437229366",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2158 EXCHANGE ST # 304",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971033316",
"telephone_number": "503-325-8315",
"fax_number": "503-325-8602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2158 EXCHANGE ST",
"address_2": "SUITE 304",
"city": "ASTORIA",
"state": "OR",
"postal_code": "971033316",
"telephone_number": "503-325-8315"
}
],
"practiceLocations": [
{
"address_1": "401 SW Belair Dr",
"address_purpose": "LOCATION",
"city": "Clatskanie",
"state": "OR",
"postal_code": "970167415",
"country_code": "US",
"telephone_number": "503-728-5088",
"fax_number": "503-728-5100",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALEY",
"first_name": "TINA",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-08",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "097000368RN",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OR",
"license": "200450118NP",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OR",
"license": "200450118NP",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1437229366",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE: FQHC",
"identifier": "381852",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID: FQHC",
"identifier": "231893",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "247358",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Astoria, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.