Natalie Bourgeois Gallup, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

NP95013586 Issued in CA

Practice address

5650 El Camino Real Ste 210
Carlsbad, CA 92008-7128

Phone

(858) 337-9677

NPI assigned

Jan 14, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

Interoperability endpoints

• Direct secure messaging: info@jeunessemedical.com

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

{
    "created_epoch": "1578960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578960000000",
    "number": "1871133298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5650 EL CAMINO REAL STE 210",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087128",
            "telephone_number": "858-337-9677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5650 EL CAMINO REAL STE 210",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920087128",
            "telephone_number": "858-337-9677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLUP",
        "first_name": "NATALIE",
        "middle_name": "BOURGEOIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-14",
        "last_updated": "2020-01-14",
        "certification_date": "2020-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "NP95013586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Info@jeunessemedical.com",
            "affiliation": "N",
            "address_1": "5650 El Camino Real Ste 210",
            "city": "Carlsbad",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920087128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Mary N Gallanis, MD
• Lizette Gallegos
• Maria Estefany Gallegos
• Nytziagisel Gallegos
• Alexis Mary Lynn Galloway
• Janet Galvan
• Karina Galvan
• Valerie Galvan
• Staci Galvin-Castro
• Rodimiro Desi Gamboa, DC

• Nurse Practitioner in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2020; 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.