Individual provider Active NPI

Colby Marie Gallagher, APRN

  • Nurse Practitioner
  • Northampton, MA
National Provider Identifier
1609359504
Registry record updated Feb 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN282489 Issued in MA
Practice address
22 Atwood Dr Ste 301
Northampton, MA 01060-4267
Phone
(413) 490-0237
NPI assigned
Sep 7, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN282489 MA
Nurse Practitioner 363L00000X RN282489 MA Primary

Addresses

Primary practice location

22 Atwood Dr Ste 301
Northampton, MA 01060-4267

Mailing address

230 Maple St Ste 301
Holyoke, MA 01040-5144
Phone (413) 534-1800

Other practice location 1

123 Park Ave
West Springfield, MA 01089-3337
Phone (413) 998-1980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20181204000991 MA Practitioner - Nurse Practitioner 6002150992 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western Massachusetts HospitalGroup PAC ID 0648356238, 8 clinicians

Practice addresses (Care Compare)

91 E Mountain Rd
Westfield, MA 01085-1801
Phone (413) 562-4131

91 E Mountain Rd
Westfield, MA 01085-1889

Hospital & facility affiliations

  • Baystate Medical Center Hospital, Springfield, MA, CCN 220077
  • Baystate Noble Hospital Hospital, Westfield, MA, CCN 220065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dispatchhealth Massachusetts PC CurrentSince Jan 5, 2020 Accepting new patients
Western Massachusetts Hospital CurrentSince Jul 19, 2024 Accepting new patients
Excella Home Health Agency, LLC PastSince Jan 5, 2020 Accepting new patients
Hampden & Franklin County Cardiovascular Associates, PC PastSince Oct 1, 2012 Accepting new patients

Locations

123 Park Ave
West Springfield, MA 01089
Phone (413) 732-8700

91 E Mountain Rd
Westfield, MA 01085
Phone (413) 562-4131

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JBFADA

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 3

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": "1536278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580774400000",
    "number": "1609359504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 MAPLE ST STE 301",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010405144",
            "telephone_number": "413-534-1800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 ATWOOD DR STE 301",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010604267",
            "telephone_number": "413-490-0237"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "123 Park Ave",
            "address_purpose": "LOCATION",
            "city": "West Springfield",
            "state": "MA",
            "postal_code": "010893337",
            "country_code": "US",
            "telephone_number": "413-998-1980",
            "fax_number": "720-598-0440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "COLBY",
        "middle_name": "MARIE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-07",
        "last_updated": "2020-02-04",
        "certification_date": "2020-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MA",
            "license": "RN282489",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN282489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.