Individual provider Active NPI

Kelly Gallant

  • Certified Registered Nurse Anesthetist
  • Lawrence, MA
National Provider Identifier
1710444260
Registry record updated Nov 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
130323 Issued in MA
Practice address
1 General St
Lawrence, MA 01841-2997
Phone
(978) 683-4000
NPI assigned
Feb 20, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X RN2265564 MA
Certified Registered Nurse Anesthetist 367500000X 130323 MA Primary

Addresses

Primary practice location

1 General St
Lawrence, MA 01841-2997

Mailing address

1 General St
Lawrence, MA 01841-2997
Phone (978) 683-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201114000039 MA Practitioner - Certified Registered Nurse Anesthetist (Crna) 3072923465 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North American Partners in Anesthesia Massachusetts LLCGroup PAC ID 8820350713, 37 clinicians
Lowell Anesthesiology Service IncGroup PAC ID 3072556141, 98 clinicians

Practice addresses (Care Compare)

300 C Faunce Corner Rd
Dartmouth, MA 02747-1257
Phone (508) 679-3131

33 Bartlett St
Suite 203
Lowell, MA 01852-1317
Phone (978) 689-4601

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
130323MAMDCertified Registered Nurse Anesthetist
RN2265564MAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Lahey Clinic, Inc. Single Specialty CurrentSince Mar 3, 2021 Accepting new patients
Lowell Anesthesiology Service, Inc. Single Specialty CurrentSince Sep 1, 2025 Accepting new patients
Lahey Clinic, Inc Single Specialty Current Accepting new patients
North American Partners in Anesthesia Massachusetts LLC Single Specialty CurrentSince Dec 5, 2020 Accepting new patients
Brigham & Womens Physicians Organization Inc Single Specialty CurrentSince Sep 22, 2022 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Sep 13, 2021 Accepting new patients
Lowell Anesthesia Associates PLLC Single Specialty CurrentSince Jul 11, 2024 Accepting new patients
Dha Endoscopy LLC Single Specialty CurrentSince Jan 16, 2021 Accepting new patients
Steward Medical Group, Inc Single Specialty CurrentSince Sep 13, 2021 Accepting new patients
Cap Anesthesia, PC Single Specialty Past Accepting new patients
Dha Endoscopy LLC Past Accepting new patients

Locations

138 Haverhill St
Andover, MA 01810
Phone (978) 296-2302

75 Francis St
Boston, MA 02115

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

140 Lincoln Ave
Haverhill, MA 01830
Phone (978) 374-2000

1 General St
Lawrence, MA 01841
Phone (978) 946-8103

33 Bartlett St
Ste 203
Lowell, MA 01852
Phone (978) 689-4601

295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344

59 Lowes Way
Lowell, MA 01851
Phone (617) 733-4166

70 East St
Methuen, MA 01844
Phone (978) 682-1906

300D Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 998-6683

40 Holland St
Somerville, MA 02144
Phone (617) 629-6000

91 Montvale Ave
Ste 103
Stoneham, MA 02180
Phone (781) 835-2111

68 S Service Rd
Ste 350
Melville, NY 11747
Phone (516) 945-3107

Organizations & group practices 12

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 1

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": "1550620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604275200000",
    "number": "1710444260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENERAL ST",
            "city": "LAWRENCE",
            "state": "MA",
            "postal_code": "018412997",
            "telephone_number": "978-683-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLANT",
        "first_name": "KELLY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-20",
        "last_updated": "2020-11-02",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "RN2265564",
            "primary": false
        },
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MA",
            "license": "130323",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrence, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.