Active NPI
Gallaudet Howard, CNP
- Family Nurse Practitioner
- Lynn, MA
National Provider Identifier
1730149113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN206843
- Practice address
- 269 Union St
Lynn, MA 01901-1314 - Phone
- (781) 581-3900
- Fax
- (781) 598-1050
- NPI assigned
- Mar 28, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 107095 | IA | |
| Family Nurse Practitioner | 363LF0000X | RN206843 | MA | Primary |
Addresses
Primary practice location
269 Union St
Lynn, MA 01901-1314
Mailing address
P.O. Box 526
Lynn, MA 01903
Phone (781) 596-2502
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0474569 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Yale University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20 Central Ave
Lynn, MA 01901-1314
269 Union St
Lynn, MA 01901-1314
Phone (959) 216-7305
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107095 | IA | MD | Emergency Medicine Physician |
| 206843 | MA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lynn Community Health, Inc. | Current | Accepting new patients | |
| Linn County Emergency Medicine PC | Emergency Medicine | Past | Accepting new patients |
| Lynn Community Health, Inc. | Past | Accepting new patients |
Locations
280 Union St
Ste 202
Lynn, MA 01901
Phone (781) 780-4555
269 Union St
Lynn, MA 01901
Phone (781) 581-9832
Interoperability endpoints
- ghoward197519@direct.ochin.org
Organizations & group practices 3
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.
-
- Federally Qualified Health Center (FQHC)
- Lynn, MA
- NPI 1013997691
-
- Community/Retail Pharmacy
- Lynn, MA
- NPI 1477213031
-
- Emergency Medicine Physician
- Cedar Rapids, IA
- NPI 1679521124
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1495670400000",
"number": "1730149113",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 526",
"city": "LYNN",
"state": "MA",
"postal_code": "01903",
"telephone_number": "781-596-2502",
"fax_number": "781-596-3966"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 UNION ST",
"city": "LYNN",
"state": "MA",
"postal_code": "019011314",
"telephone_number": "781-581-3900",
"fax_number": "781-598-1050"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWARD",
"first_name": "GALLAUDET",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-28",
"last_updated": "2017-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "107095",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN206843",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0474569",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynn, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.