Active NPI
Meghan Elizabeth Gallagher, NP
- Pediatric Nurse Practitioner
- Kamuela, HI
National Provider Identifier
1619278280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 1957
- Practice address
- 64-1032 Mamalahoa Hwy
Suite 204
Kamuela, HI 96743-8441 - Phone
- (808) 887-6543
- Fax
- (808) 887-6294
- NPI assigned
- Nov 12, 2010
- Last updated
- Mar 1, 2017
- 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 | RN2262654 | MA | |
| Pediatric Nurse Practitioner | 363LP0200X | 1957 | HI | Primary |
Addresses
Primary practice location
64-1032 Mamalahoa Hwy
Suite 204
Kamuela, HI 96743-8441
Mailing address
PO Box 6149
Kamuela, HI 96743-6149
Phone (808) 887-6543
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 795619 | Medicaid | HI |
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)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1957 | HI | MD | Speech-Language Pathologist |
| RN2262654 | MA | MD | Pediatric Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Paniolo Country Pediatrics LLC | 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
- Kamuela, HI
- NPI 1699856286
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488326400000",
"number": "1619278280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 6149",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967436149",
"telephone_number": "808-887-6543",
"fax_number": "808-887-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64-1032 MAMALAHOA HWY",
"address_2": "SUITE 204",
"city": "KAMUELA",
"state": "HI",
"postal_code": "967438441",
"telephone_number": "808-887-6543",
"fax_number": "808-887-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "MEGHAN",
"middle_name": "ELIZABETH",
"name_prefix": "Miss",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-11-12",
"last_updated": "2017-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "MA",
"license": "RN2262654",
"primary": false
},
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "HI",
"license": "1957",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "795619",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kamuela, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.