NPIMap

Individual provider Active NPI

Richard William Gallagher, AGNP

  • Adult Health Nurse Practitioner
  • Enosburg Falls, VT
National Provider Identifier
1467976381
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
101.0132405 Issued in VT
Practice address
Enosburg Health Center, 382 Main Street
Enosburg Falls, VT 05450
Phone
(802) 933-5831
Fax
(802) 933-5836
NPI assigned
Aug 2, 2017
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 101.0132405 VT Primary

Addresses

Primary practice location

Enosburg Health Center, 382 Main Street
Enosburg Falls, VT 05450

Mailing address

331 Autumn Pond Way Unit 105
Essex Junction, VT 05452-4080
Phone (603) 727-8418

Other practice location 1

44 Main St Ste 200
Richford, VT 05476-1141
Phone (802) 524-4554

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170830003013 VT Practitioner - Nurse Practitioner 4587937354 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
University of Massachusetts Medical School, 2017
Medicare assignment
May accept Medicare assignment
Group practices
The Richford Health Center, Inc.Group PAC ID 7012825631, 30 clinicians

Practice addresses (Care Compare)

44 Main St
Suite 200
Richford, VT 05476-1141
Phone (802) 255-5500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Richford Health Center Inc Current Accepting new patients
The Richford Health Center Inc CurrentSince Jul 8, 2017 Accepting new patients
The Richford Health Center Inc CurrentSince Jul 8, 2017 Accepting new patients
The Richford Health Center Inc Past Accepting new patients

Locations

1199 Main St
Fairfax, VT 05454
Phone (802) 849-2023

4178 Highbridge Rd
Fairfax, VT 05454
Phone (802) 524-9595

44 Main St
Ste 200
Richford, VT 05476
Phone (802) 255-5500

12 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

3 Crest Rd
Saint Albans, VT 05478
Phone (802) 524-4554

26 Canada St
Swanton, VT 05488
Phone (800) 868-2454

Interoperability endpoints

  • Direct secure messaging: rgallagher@notch.medentdirect.com

Organizations & group practices 4

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.

Hospital & facility affiliations 9

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1467976381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 AUTUMN POND WAY UNIT 105",
            "city": "ESSEX JUNCTION",
            "state": "VT",
            "postal_code": "054524080",
            "telephone_number": "603-727-8418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ENOSBURG HEALTH CENTER, 382 MAIN STREET",
            "city": "ENOSBURG FALLS",
            "state": "VT",
            "postal_code": "05450",
            "telephone_number": "802-933-5831",
            "fax_number": "802-933-5836"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Main St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Richford",
            "state": "VT",
            "postal_code": "054761141",
            "country_code": "US",
            "telephone_number": "802-524-4554",
            "fax_number": "802-524-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "RICHARD",
        "middle_name": "WILLIAM",
        "credential": "AGNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "VT",
            "license": "101.0132405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enosburg Falls, VT

Sources for this page

Verify at the official NPI Registry.