Active NPI
Mary Gallagher, NP
- Nurse Practitioner
- Westlake, OH
National Provider Identifier
1730550989
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- COA.17955NP
- Practice address
- 26908 Detroit Rd Ste 103
Westlake, OH 44145-2399 - Phone
- (440) 249-0274
- NPI assigned
- Oct 14, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | COA.17955NP | OH | Primary |
Addresses
Primary practice location
26908 Detroit Rd Ste 103
Westlake, OH 44145-2399
Mailing address
26908 Detroit Rd Ste 103
Westlake, OH 44145-2399
Phone (440) 249-0274
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| COA.17955NP | Other | OH | STATE MEDICAL LICENSE |
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 |
|---|---|---|---|
| COA.17955NP | OH | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CH Specialty Services TX PLLC | 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 and National Provider Directory roles.
-
- Family Nurse Practitioner
- Austin, TX
- NPI 1306225701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1444780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444780800000",
"number": "1730550989",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26908 DETROIT RD STE 103",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452399",
"telephone_number": "440-249-0274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26908 DETROIT RD STE 103",
"city": "WESTLAKE",
"state": "OH",
"postal_code": "441452399",
"telephone_number": "440-249-0274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLAGHER",
"first_name": "MARY",
"credential": "NP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-14",
"last_updated": "2015-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "OH",
"license": "COA.17955NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE MEDICAL LICENSE",
"identifier": "COA.17955NP",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Westlake, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.