Active NPI
Karyn Jansen Gallagher, WHNP-BC
- Women's Health Nurse Practitioner
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Women's Health Nurse Practitioner
- License
- 3534
- Practice address
- 251 University Blvd
Ste B
Conway, SC 29526-8834 - Phone
- (843) 347-1012
- Fax
- (843) 347-1218
- NPI assigned
- Jun 8, 2007
- Last updated
- Aug 22, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Women's Health Nurse Practitioner | 363LW0102X | 3534 | SC | Primary |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 3534 | SC |
Addresses
Primary practice location
251 University Blvd
Ste B
Conway, SC 29526-8834
Mailing address
300 Singleton Ridge Rd
Attn PNS Credentialing
Conway, SC 29526-9142
Phone (843) 234-6946
Other practice location 1
251 University Blvd
Ste A
Conway, SC 29526-8834
Phone (843) 347-0524
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3534 | SC | MD | Women's Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Conway Hospital, Inc. | Women's Health | Current | Accepting new patients |
| Smith Medical Clinic | Past | Accepting new patients |
Locations
251 University Blvd
Ste A
Conway, SC 29526
Phone (843) 347-0524
300 Singleton Ridge Rd
Conway, SC 29526
Phone (843) 234-6946
Organizations & group practices 2
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.
-
dba CMC Primary Care Coastal Carolina University
- Internal Medicine Physician
- Conway, SC
- NPI 1306689237
Women's Health
-
- Community Health Clinic/Center
- Pawley's Island, SC
- NPI 1043684632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724284800000",
"number": "1831392687",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 SINGLETON RIDGE RD",
"address_2": "ATTN PNS CREDENTIALING",
"city": "CONWAY",
"state": "SC",
"postal_code": "295269142",
"telephone_number": "843-234-6946"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "251 UNIVERSITY BLVD",
"address_2": "STE B",
"city": "CONWAY",
"state": "SC",
"postal_code": "295268834",
"telephone_number": "843-347-1012",
"fax_number": "843-347-1218"
}
],
"practiceLocations": [
{
"address_1": "251 University Blvd",
"address_2": "Ste A",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "SC",
"postal_code": "295268834",
"country_code": "US",
"telephone_number": "843-347-0524",
"fax_number": "843-347-0655",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAGHER",
"first_name": "KARYN",
"middle_name": "JANSEN",
"name_prefix": "Mrs.",
"credential": "WHNP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-08",
"last_updated": "2024-08-22",
"certification_date": "2024-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "SC",
"license": "3534",
"primary": true
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "SC",
"license": "3534",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.