Active NPI
Katelyn Gallagher
- Speech-Language Pathologist
- Clarksville, TN
National Provider Identifier
1467024844
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 7602
- Practice address
- 204 Harnett CT Ste C
Clarksville, TN 37043-2066 - Phone
- (231) 633-1329
- NPI assigned
- Jul 14, 2021
- 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 |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 7602 | TN | Primary |
Addresses
Primary practice location
204 Harnett CT Ste C
Clarksville, TN 37043-2066
Mailing address
515 Madison St Apt 226
Nashville, TN 37208-1671
Phone (231) 633-1329
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 |
|---|---|---|---|
| 7602 | TN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1626220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626220800000",
"number": "1467024844",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "515 MADISON ST APT 226",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372081671",
"telephone_number": "231-633-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "204 HARNETT CT STE C",
"city": "CLARKSVILLE",
"state": "TN",
"postal_code": "370432066",
"telephone_number": "231-633-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "KATELYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-07-14",
"last_updated": "2021-07-14",
"certification_date": "2021-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "TN",
"license": "7602",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Clarksville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.