Organization Active NPI

Hormones 4 Life LLC

  • Gynecology Physician
  • Chattanooga, TN
National Provider Identifier
1487190914
Registry record updated Jan 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
License
29653 Issued in TN
Legal business name
HORMONES 4 LIFE LLC
Doing business as
Chattanooga Women for Women
Practice address
3172 Waterfront Dr
Chattanooga, TN 37419-1541
Phone
(859) 321-0637
NPI assigned
Jan 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2017

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

Authorized official

Name
Dr. Andrea Kaye Galloway, MD
Title
Managing Member
Phone
(859) 321-0637

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X 29653 TN Primary

Addresses

Primary practice location

3172 Waterfront Dr
Chattanooga, TN 37419-1541

Mailing address

3172 Waterfront Dr
Chattanooga, TN 37419-1541
Phone (859) 321-0637

Other identifiers 2

IdentifierTypeStateIssuer
Q013665MedicaidTN
7100113860MedicaidKY

Other names 1

  • Chattanooga Women for Women Doing business as

National Provider Directory

National Provider Directory

Locations

1008 Executive Dr
Ste 101
Hixson, TN 37343
Phone (423) 443-3336

NPI Registry JSON

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

{
    "created_epoch": "1483833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483833600000",
    "number": "1487190914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3172 WATERFRONT DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191541",
            "telephone_number": "859-321-0637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3172 WATERFRONT DR",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374191541",
            "telephone_number": "859-321-0637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HORMONES 4 LIFE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-01-08",
        "last_updated": "2017-01-08",
        "status": "A",
        "authorized_official_last_name": "GALLOWAY",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "KAYE",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "859-321-0637",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TN",
            "license": "29653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q013665",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100113860",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Chattanooga Women for Women",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2017; 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.