Cory Paul Gallegos

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

20211165333 Issued in CO

Practice address

63341 Pearl Rd
Montrose, CO 81403-9185

Phone

(970) 765-6907

NPI assigned

Feb 22, 2021

Sex

Male

Sole proprietor

No

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

State licenses

Practice roles

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.

• Freedom Choice Home Health

  • Home Health Agency
  • Montrose, CO
  • NPI 1528652336
  NPD Authorized official

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

{
    "created_epoch": "1613952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1801480611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63341 PEARL RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814039185",
            "telephone_number": "970-765-6907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63341 PEARL RD",
            "city": "MONTROSE",
            "state": "CO",
            "postal_code": "814039185",
            "telephone_number": "970-765-6907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLEGOS",
        "first_name": "CORY",
        "middle_name": "PAUL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-22",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Home Health",
            "state": "CO",
            "license": "20211165333",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol K Friedrich
• Mariovisto F Frogozo, MD
• Darlene Ann Fullerton, RN;CMT
• Function to Fun Therapy Services LLC
• Sandra L Galbreth, LPC LISAC NBCC
• Justin Galvan, D.P.T
• Leonardo Galvez Ramirez, DDS
• Noralma Garcia, DDS
• Tricia L Garcia, PT
• Alexis N Garza, MD

• Home Health Registered Nurse in Montrose, CO
• Providers in Montrose, CO by specialty
• Home Health Registered Nurse in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2021; 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.