Susan G Gallagher, RN , MSN

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

172356 Issued in MA

Practice address

25 Main Street
The Cardiovascular Specialist LLC
Hyannis, MA 02601

Phone

(508) 778-1829

Fax

(508) 778-0113

NPI assigned

Nov 18, 2005

Last updated

Apr 28, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science - Nursing, Nurse Practitioner, Registered Nurse

State licenses

Practice roles

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.

• Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc

  • Internal Medicine Physician
  • Boston, MA
  • NPI 1194765438
  NPD (past)
• Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce

  dba Radiology - HMFP at BIDMC

  • Body Imaging Physician
  • Boston, MA
  • NPI 1275574899
  NPD (past)

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272412800000",
    "number": "1639151251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 TER HEUN DR",
            "address_2": "SUITE 300",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402533",
            "telephone_number": "508-540-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MAIN STREET",
            "address_2": "THE CARDIOVASCULAR SPECIALIST LLC",
            "city": "HYANNIS",
            "state": "MA",
            "postal_code": "02601",
            "telephone_number": "508-778-1829",
            "fax_number": "508-778-0113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLAGHER",
        "first_name": "SUSAN",
        "middle_name": "G",
        "credential": "RN , MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-18",
        "last_updated": "2010-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "MA",
            "license": "172356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUESHIELD",
            "identifier": "NP4101",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0328197",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Lee Gagne, APRN
• Paul Gagne, M.D.
• Patricia Gagnier
• Paul Marc Gagnon, D.O.
• Shealan Karen Gagnon, APRN
• Kerin Gallivan-Igo, MS
• Elizabeth Garcia, MSW
• Amy Louise Gardner, M.D.
• Erin Garganigo
• Livia Garrao

• Adult Health Nurse Practitioner in Hyannis, MA
• Providers in Hyannis, MA by specialty
• Adult Health Nurse Practitioner in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2010; 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.