Hailey Beth Wilson Gallivan, LMT

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

107228 Issued in KY

Practice address

800 Rose Street
3Rd Floor Whitney Hendrickson
Lexington, KY 40536-0098

Phone

(859) 323-4325

Fax

(859) 257-0661

NPI assigned

Jun 19, 2018

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

Other names 1

• Ms. Hailey Beth Wilson Former name

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.

• Kentucky Medical Services Foundation, Inc

  • Internal Medicine Physician
  • Lexington, KY
  • NPI 1326091448
  NPD (past)

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

{
    "created_epoch": "1529366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1811481369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PLANTERS CT",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405145916",
            "telephone_number": "859-333-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROSE STREET",
            "address_2": "3RD FLOOR WHITNEY HENDRICKSON",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405360098",
            "telephone_number": "859-323-4325",
            "fax_number": "859-257-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLIVAN",
        "first_name": "HAILEY BETH",
        "middle_name": "WILSON",
        "name_prefix": "Ms.",
        "credential": "LMT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-19",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "KY",
            "license": "107228",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HAILEY",
            "last_name": "WILSON",
            "middle_name": "BETH",
            "prefix": "MS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Laura A Gallaher
• Micah Gayle Gallas
• Teresa Marie Gallegos I
• Heath Gallentine, D.C.
• Holly H Gallion, M.D.
• Mona Gallo
• Caitlyn Galloway, MD
• Chase Alan Galloway
• Dana Suter Galloway, OTR/L, RN,BSN
• Johnathan Reed Galloway

• Massage Therapist in Lexington, KY
• Providers in Lexington, KY by specialty
• Massage Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.