Mellissa Galloway

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

294002 Issued in NY

Practice address

3812 Mystic Meadows LN
Williamson, NY 14589-9535

Phone

(585) 414-9424

NPI assigned

Apr 6, 2017

Last updated

Apr 6, 2017By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1491436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491436800000",
    "number": "1780117721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3812 MYSTIC MEADOWS LN",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899535",
            "telephone_number": "585-414-9424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3812 MYSTIC MEADOWS LN",
            "city": "WILLIAMSON",
            "state": "NY",
            "postal_code": "145899535",
            "telephone_number": "585-414-9424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "MELLISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-04-06",
        "last_updated": "2017-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "NY",
            "license": "294002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Ferrante, LPN
• Sarah Fiegl
• Finger Lakes Hand Surgery PLLC
• Daniel Forte, LPN
• Andrea Michelle Franke, MS, CCC/SLP
• Andrea L Habecker, OTR/L
• Jessica Hainsworth, PT, DPT
• Ashley Fowler Hance, PHARM.D.
• Antoinette Harris
• Sandra A Hellmann, M.D.

• Licensed Practical Nurse in Williamson, NY
• Providers in Williamson, NY by specialty
• Licensed Practical Nurse in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.