Active NPI
Gallaher Family Practice and Addiction Recovery LLC
- Family Medicine Physician
- Clearfield, PA
National Provider Identifier
1821890302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- GALLAHER FAMILY PRACTICE AND ADDICTION RECOVERY LLC
- Practice address
- 1229 Turnpike Ave
Clearfield, PA 16830-3027 - Phone
- (814) 335-5965
- Fax
- (814) 205-4042
- NPI assigned
- Mar 26, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mandy Lyn Gallaher, FNP-BC
- Title
- FNP-BC
- Phone
- (814) 762-0527
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Addiction Medicine (Family Medicine) Physician | 207QA0401X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Health Nurse Practitioner | 363LA2200X | |||
| Primary Care Nurse Practitioner | 363LP2300X |
Addresses
Primary practice location
1229 Turnpike Ave
Clearfield, PA 16830-3027
Mailing address
1229 Turnpike Ave
Clearfield, PA 16830-3027
Phone (814) 335-5965
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720748742 | Other | PA | NPI |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742947200000",
"number": "1821890302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1229 TURNPIKE AVE",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168303027",
"telephone_number": "814-335-5965",
"fax_number": "814-205-4042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1229 TURNPIKE AVE",
"city": "CLEARFIELD",
"state": "PA",
"postal_code": "168303027",
"telephone_number": "814-335-5965",
"fax_number": "814-205-4042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GALLAHER FAMILY PRACTICE AND ADDICTION RECOVERY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-03-26",
"last_updated": "2025-03-26",
"certification_date": "2025-03-26",
"status": "A",
"authorized_official_last_name": "GALLAHER",
"authorized_official_first_name": "MANDY",
"authorized_official_middle_name": "LYN",
"authorized_official_title_or_position": "FNP-BC",
"authorized_official_telephone_number": "814-762-0527",
"authorized_official_credential": "FNP-BC"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
},
{
"code": "207QA0401X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine, Addiction Medicine",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Adult Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Primary Care",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1720748742",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearfield, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.