Individual provider Active NPI

Sarah Lynn Gallardy, CRNP

  • Nurse Practitioner
  • Altoona, PA
National Provider Identifier
1831761873
Registry record updated Mar 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
SP023941 Issued in PA
Practice address
5800 6TH Ave
Altoona, PA 16602-1113
Phone
(814) 215-1516
Fax
(814) 941-5520
NPI assigned
Jul 9, 2021
Reactivated
Mar 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X SP023941 PA
Nurse Practitioner 363L00000X SP023941 PA Primary

Addresses

Primary practice location

5800 6TH Ave
Altoona, PA 16602-1113

Mailing address

5800 6TH Ave
Altoona, PA 16602-1113
Phone (814) 239-1516

Other practice location 1

2051 S Atherton St
State College, PA 16801-7608
Phone (844) 278-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210825004039 PA Practitioner - Nurse Practitioner 3779988928 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP023941PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients
Mount Nittany Medical Center Health Services Inc Past Accepting new patients
MH Health Care Services, PC Nurse Practitioner Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sarah.gallardy.1@14940.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1625788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1831761873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5800 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021113",
            "telephone_number": "814-239-1516",
            "fax_number": "149-415-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5800 6TH AVE",
            "city": "ALTOONA",
            "state": "PA",
            "postal_code": "166021113",
            "telephone_number": "814-215-1516",
            "fax_number": "814-941-5520"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2051 S Atherton St",
            "address_purpose": "LOCATION",
            "city": "State College",
            "state": "PA",
            "postal_code": "168017608",
            "country_code": "US",
            "telephone_number": "844-278-4600",
            "fax_number": "814-231-6879",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GALLARDY",
        "first_name": "SARAH",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-09",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "deactivation_date": "2025-02-14",
        "reactivation_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "SP023941",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "PA",
            "license": "SP023941",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altoona, PA

Sources for this page

Verify at the official NPI Registry.