Active NPI
Geraldine Galloway, APRN
- Adult Health Nurse Practitioner
- Fort Myers, FL
National Provider Identifier
1447368352
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- APRN9165323
- Practice address
- 2780 Cleveland Ave
Fort Myers, FL 33901-5858 - Phone
- (239) 343-3727
- Fax
- (239) 343-2086
- NPI assigned
- Aug 29, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | ARNP 9165323 | FL | |
| Adult Health Nurse Practitioner | 363LA2200X | APRN9165323 | FL | Primary |
Addresses
Primary practice location
2780 Cleveland Ave
Fort Myers, FL 33901-5858
Mailing address
PO Box 2147
Fort Myers, FL 33902-2147
Phone (239) 343-3727
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 115090700 | Medicaid | FL |
Other names 1
- Ms. Gerri Galloway
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gerrir@cerner.directbaptisthealth.com |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ARNP 9165323 | FL | MD | Acute Care Nurse Practitioner |
| APRN9165323 | FL | MD | Adult Health Nurse Practitioner |
Networks
- Optimum HealthCare HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1447368352",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2147",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339022147",
"telephone_number": "239-343-3727",
"fax_number": "239-343-2086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2780 CLEVELAND AVE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339015858",
"telephone_number": "239-343-3727",
"fax_number": "239-343-2086"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLOWAY",
"first_name": "GERALDINE",
"name_prefix": "Ms.",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "ARNP 9165323",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "APRN9165323",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "115090700",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gerrir@cerner.directbaptisthealth.com",
"affiliation": "N",
"address_1": "8900 N Kendall Dr",
"city": "Miami",
"state": "FL",
"country_code": "US",
"postal_code": "331762197",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GERRI",
"last_name": "GALLOWAY",
"prefix": "MS.",
"credential": "APRN",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.