Individual provider Active NPI

Judith Gallo, NP

  • Family Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1548726631
Registry record updated Mar 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
9341062 Issued in FL
Practice address
3000 Coral Hills Dr
Coral Springs, FL 33065-4108
Phone
(954) 344-3000
NPI assigned
Feb 14, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9341062 FL
Family Nurse Practitioner 363LF0000X 9341062 FL Primary

Addresses

Primary practice location

3000 Coral Hills Dr
Coral Springs, FL 33065-4108

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190621001805 FL Practitioner - Nurse Practitioner 4587998794 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sterling Emergency Services of Miami Beach PAGroup PAC ID 3476553215, 47 clinicians

Practice addresses (Care Compare)

2845 Aventura Blvd
Aventura, FL 33180-3118
Phone (305) 692-1000

Hospital & facility affiliations

  • Mount Sinai Medical Center of Florida, Inc Hospital, Miami Beach, FL, CCN 100034

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9341062FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sterling Emergency Services of Miami Beach PA Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Dec 1, 2023 Accepting new patients
Sterling Emergency Services of Miami Beach PA Nurse Practitioner CurrentSince Oct 1, 2024 Accepting new patients
Coral Springs Physician Services, LLC Nurse Practitioner CurrentSince May 29, 2019 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

2845 NE 199th St
Miami, FL 33180
Phone (305) 692-1000

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000

200 Corporate Blvd
Lafayette, LA 70508

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1550102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584316800000",
    "number": "1548726631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3000 CORAL HILLS DR",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654108",
            "telephone_number": "954-344-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLO",
        "first_name": "JUDITH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-14",
        "last_updated": "2020-03-16",
        "certification_date": "2020-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9341062",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9341062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.