Active NPI
Karen Sue Gallemore, N.P.
- Family Nurse Practitioner
- Neosho, MO
National Provider Identifier
1568638112
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 084393
- Practice address
- 1504 N Business 71
Neosho, MO 64850-1975 - Phone
- (417) 455-2883
- Fax
- (417) 455-9358
- NPI assigned
- May 5, 2008
- Last updated
- May 5, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 084393 | MO | Primary |
Addresses
Primary practice location
1504 N Business 71
Neosho, MO 64850-1975
Mailing address
PO Box 818
Neosho, MO 64850-0818
Phone (417) 455-2883
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 420014300 | Medicaid | MO |
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
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 084393 | MO | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209945600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1209945600000",
"number": "1568638112",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 818",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648500818",
"telephone_number": "417-455-2883",
"fax_number": "417-455-9358"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 N BUSINESS 71",
"city": "NEOSHO",
"state": "MO",
"postal_code": "648501975",
"telephone_number": "417-455-2883",
"fax_number": "417-455-9358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLEMORE",
"first_name": "KAREN",
"middle_name": "SUE",
"name_prefix": "Ms.",
"credential": "N.P.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-05",
"last_updated": "2008-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MO",
"license": "084393",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "420014300",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Neosho, MO
- Freeman-Oak Hill Health System (QuickMeds Pharmacy - Neosho)
- Freeman-Oak Hill Health System (QuickMeds Pharmacy - Freeman West)
- Mackenzie Freeman, PTA
- Kristen Dae Freer, BCBA
- Krystal Frossard, PHARMD
- Allison Lea Galloway, D.O.
- Travis Gardiner
- Dadrion Annette Gaston, R.PH
- Natasha Gates, RN
- Gateway Emergency Physicians, LLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.