Individual provider Active NPI

Meghan Elizabeth Gallagher, NP

  • Pediatric Nurse Practitioner
  • Kamuela, HI
National Provider Identifier
1619278280
Registry record updated Mar 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nurse PractitionerTaxonomy code 363LP0200X
License
1957 Issued in HI
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, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
795619MedicaidHI

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

LicenseStateTypeSpecialty
1957HIMDSpeech-Language Pathologist
RN2262654MAMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Paniolo Country Pediatrics LLC PastSince Mar 22, 2016 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.

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.

Verify at the official NPI Registry.