Active NPI
Kristina A Gallagher, APRN
- Acute Care Nurse Practitioner
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acute Care Nurse Practitioner
- License
- 11007829
- Practice address
- 2120 E Johnson Ave
Pensacola, FL 32514-6036 - Phone
- (850) 206-6784
- NPI assigned
- Jun 30, 2020
- Last updated
- Jun 30, 2020
- 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 |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 11007829 | FL | Primary |
Addresses
Primary practice location
2120 E Johnson Ave
Pensacola, FL 32514-6036
Mailing address
2120 E Johnson Ave
Pensacola, FL 32514-6036
Phone (850) 206-6784
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- 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, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4700 Bayou Blvd
Suite 6
Pensacola, FL 32503-1901
Phone (850) 477-9253
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11007829 | FL | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physician Services Group of Florida, LLC | Current | Accepting new patients | |
| Gulf Coast Infectious Diseases Inc | Current | Accepting new patients | |
| Pensacola Lung Group, M.D.'S, P.a. | Current | Accepting new patients | |
| Psgfl MSSP, LLC | Current | Accepting new patients | |
| Gulf Coast Infectious Disease | Past | Accepting new patients |
Locations
2120 E Johnson Ave
Pensacola, FL 32514
Phone (850) 494-4885
2120 E Johnson Ave
Ste 105
Pensacola, FL 32514
Phone (850) 549-4755
4700 Bayou Blvd
Ste 6
Pensacola, FL 32503
Phone 8504779253 ext. 4616
8325 University Pkwy
Ste A
Pensacola, FL 32514
Phone (850) 324-9633
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Pensacola, FL
- NPI 1619196151
-
- Infectious Disease Physician
- Pensacola, FL
- NPI 1437109733
-
- Family Medicine Physician
- Gulf Breeze, FL
- NPI 1235775396
-
- Multi-Specialty Clinic/Center
- Gulf Breeze, FL
- NPI 1689557936
-
- Infectious Disease Physician
- Pensacola, FL
- NPI 1265992200
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1700979465
-
dba Gulf Breeze Hospital
- General Acute Care Hospital
- Gulf Breeze, FL
- NPI 1972664530
-
dba North Okaloosa Medical Center
- General Acute Care Hospital
- Crestview, FL
- NPI 1104897859
-
dba Ascension Sacred Heart Pensacola
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593475200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593475200000",
"number": "1467079970",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2120 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146036",
"telephone_number": "850-206-6784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2120 E JOHNSON AVE",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325146036",
"telephone_number": "850-206-6784"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "KRISTINA",
"middle_name": "A",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-30",
"last_updated": "2020-06-30",
"certification_date": "2020-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "FL",
"license": "11007829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2020; 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.