Individual provider Active NPI

Diana Galloway, RN

  • Personal Care Attendant
  • West Palm Beach, FL
National Provider Identifier
1477800969
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
License
RN 9234536 Issued in FL
Practice address
1394 Pebble Ridge LN
West Palm Beach, FL 33411-6611
Phone
(425) 825-1602
Fax
(561) 514-1966
NPI assigned
Aug 14, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care Attendant 3747P1801X RN 9234536 FL Primary

Addresses

Primary practice location

1394 Pebble Ridge LN
West Palm Beach, FL 33411-6611

Mailing address

1394 Pebble Ridge Lane
West Palm Beach, FL 33411
Phone (425) 825-1602

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN 9234536FLMDPersonal Care Attendant

NPI Registry JSON

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

{
    "created_epoch": "1344902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1477800969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1394 PEBBLE RIDGE LANE",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "33411",
            "telephone_number": "425-825-1602",
            "fax_number": "561-514-1966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1394 PEBBLE RIDGE LN",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334116611",
            "telephone_number": "425-825-1602",
            "fax_number": "561-514-1966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "DIANA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-08-14",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "FL",
            "license": "RN 9234536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.