Joseph Emmanuel Gallardo, NP, FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

276425 Issued in AZ

Practice address

4494 W Peoria Ave Ste 115a Room 18
Ste 115a Room 18
Glendale, AZ 85302

Phone

(623) 329-8735

Fax

(623) 321-7259

NPI assigned

Oct 4, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Landerma Healthcare Services

  • Family Nurse Practitioner
  • Glendale, AZ
  • NPI 1215779020
  NPD Authorized official
• Wound Care Consultants U S LLC

  • Nurse Practitioner
  • Phoenix, AZ
  • NPI 1093587024
  NPD (past)

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669507200000",
    "number": "1558033969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 115A ROOM 18",
            "address_2": "STE 115A ROOM 18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85302",
            "telephone_number": "623-329-8735",
            "fax_number": "623-321-7259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4494 W PEORIA AVE STE 115A ROOM 18",
            "address_2": "STE 115A ROOM 18",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "85302",
            "telephone_number": "623-329-8735",
            "fax_number": "623-321-7259"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2555 S 156th Ave",
            "address_purpose": "LOCATION",
            "city": "Goodyear",
            "state": "AZ",
            "postal_code": "853383222",
            "country_code": "US",
            "telephone_number": "623-329-8735",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLARDO",
        "first_name": "JOSEPH",
        "middle_name": "EMMANUEL",
        "credential": "NP, FNP-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-10-04",
        "last_updated": "2022-11-27",
        "certification_date": "2022-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "AZ",
            "license": "RN196045",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "276425",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "AZ",
            "license": "276425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "HIE",
            "affiliation": "Y",
            "endpointDescription": "HIE",
            "affiliationName": "Landerma Medi Spa",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4494 W Peoria Ave STE 115A",
            "address_2": "STE 115A room 18",
            "city": "Glendale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "85302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angela Galante
• Maurizio Galasso, M.D.
• Aaron Galaviz
• Kelley Galeano, LCSW
• Yelena R Galibov, LAMFT
• Denise Angelica Gallego, PT
• Jamie Galvan, OTA/L
• Raul Galvez-Trevino, M.D., M.P.H.
• Carly Rose Gambill, PT, DPT
• Game Changer Physical Therapy LLC

• Nurse Practitioner in Glendale, AZ
• Providers in Glendale, AZ by specialty
• Nurse Practitioner in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.