Active NPI
Michelle Gallegos, C-PNP
- Pediatric Nurse Practitioner
- Albuquerque, NM
National Provider Identifier
1538742945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 70791
- Practice address
- 8650 Alameda Blvd NE Ste 101
Albuquerque, NM 87122-3791 - Phone
- (505) 255-1866
- NPI assigned
- May 3, 2021
- Last updated
- Jun 23, 2023
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 70791 | NM | Primary |
| Registered Nurse | 163W00000X | 79165 | NM |
Addresses
Primary practice location
8650 Alameda Blvd NE Ste 101
Albuquerque, NM 87122-3791
Mailing address
336 Luis Sanchez PL SW
Albuquerque, NM 87105-6359
Phone (505) 927-2609
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
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 79165 | NM | MD | Registered Nurse |
| 70791 | NM | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Desert Pedicatrics PC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Albuquerque, NM
- NPI 1437395332
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1620000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687478400000",
"number": "1538742945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 LUIS SANCHEZ PL SW",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871056359",
"telephone_number": "505-927-2609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8650 ALAMEDA BLVD NE STE 101",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871223791",
"telephone_number": "505-255-1866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEGOS",
"first_name": "MICHELLE",
"name_prefix": "Ms.",
"credential": "C-PNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-05-03",
"last_updated": "2023-06-23",
"certification_date": "2023-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "NM",
"license": "70791",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NM",
"license": "79165",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Albuquerque, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.