Kristine Galloway

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1710 Issued in WY

Practice address

1103 Old Town LN
Cheyenne, WY 82009-4353

Phone

(307) 426-4855

NPI assigned

Apr 21, 2022

Sex

Female

Sole proprietor

No

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.

• Bloom Therapy LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Cheyenne, WY
  • NPI 1871355529
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 4, 2025.

{
    "created_epoch": "1650499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759536000000",
    "number": "1467196949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 OLD TOWN LN",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094353",
            "telephone_number": "307-426-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 OLD TOWN LN",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094353",
            "telephone_number": "307-426-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-04-21",
        "last_updated": "2025-10-04",
        "certification_date": "2025-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WY",
            "license": "1710",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194382150",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "CHEYENNE",
            "affiliation": "N",
            "endpointDescription": "operations director email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1103 Old Town Ln",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820094353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Emily Jean Gallegos, MD
• Nicholas James Gallinger, PHARMD
• Natasha Sue Gallizzi, PHARM.D.
• Octavia Alicia Gallon, LPC
• Hetti K Galloway
• Jared Gamet, M.D.
• Tammy Lou Gamino
• Sherri Gantek, MS, RD
• Ryan Garber, PTA
• Aurie Anna L Garcia Munter, M.A. LPC

• All providers in Cheyenne, WY
• Clinical Social Worker in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.