NPIMap

Individual provider Active NPI

Christy Lin Gallegos, FNP

  • Family Nurse Practitioner
  • Texarkana, TX
National Provider Identifier
1801236195
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
730755 Issued in TX
Practice address
3515 Richmond Rd
Texarkana, TX 75503-0711
Phone
(903) 791-9355
Fax
(903) 831-7258
NPI assigned
Jul 1, 2013
Last updated
May 24, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 730755 TX Primary

Addresses

Primary practice location

3515 Richmond Rd
Texarkana, TX 75503-0711

Mailing address

3515 Richmond Road
Texarkana, TX 75503-0711
Phone (903) 791-9355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AR, OK3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20130926000347 TX Practitioner - Nurse Practitioner 1658515994 Reassigns benefits to 2 organizations
I20150601002306 AR Practitioner - Nurse Practitioner 1658515994 Reassigns benefits to 1 organization
I20210505001396 OK Practitioner - Nurse Practitioner 1658515994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthcare Express, LLPGroup PAC ID 9739131442, shared by 7 NPIs, 68 clinicians

Practice addresses (Care Compare)

1021 W Collin Raye Dr
Dequeen, AR 71832-2027
Phone (870) 518-0028

125 Arkansas Blvd
Texarkana, AR 71854-1963
Phone (870) 772-9355

14321 NE 23Rd St
Choctaw, OK 73020-8624
Phone (405) 342-0255

3515 Richmond Rd
Texarkana, TX 75503-0711
Phone (903) 791-9355

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.12 of 100Reported as group
Quality
71.48
Promoting interoperability
100
Improvement activities
40
Cost
75.58

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
730755TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP CurrentSince Apr 3, 2021 Accepting new patients
Healthcare Express, LLP CurrentSince Feb 22, 2014 Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Healthcare Express, LLP Current Accepting new patients
Texarkana Emergency Physicians PLLC CurrentSince May 1, 2014 Accepting new patients
Healthcare Express, LLP CurrentSince Feb 22, 2014 Accepting new patients
Healthcare Express, LLP CurrentSince Mar 7, 2015 Accepting new patients
Healthcare Express, LLP Past Accepting new patients

Locations

125 Arkansas Blvd
Texarkana, AR 71854
Phone (870) 772-9355

14321 NE 23rd St
Choctaw, OK 73020
Phone (405) 342-0255

1701 S Douglas Blvd
Oklahoma City, OK 73130
Phone (405) 302-8999

1509 W Loop 281
Longview, TX 75604
Phone (903) 759-9355

1000 Pine St
Texarkana, TX 75501
Phone (903) 798-7365

3515 Richmond Rd
Texarkana, TX 75503
Phone (903) 831-7270

Organizations & group practices 9

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.

Hospital & facility affiliations 6

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": "1372636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1801236195",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND ROAD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3515 RICHMOND RD",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755030711",
            "telephone_number": "903-791-9355",
            "fax_number": "903-831-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "CHRISTY",
        "middle_name": "LIN",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-01",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "730755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Texarkana, TX

Sources for this page

Verify at the official NPI Registry.