Judy Galloway, RD, LD, LDN, CDE

Primary specialty

Registered DietitianTaxonomy code 133V00000X

License

0903 Issued in MS

Practice address

7601 Southcrest Parkway
Baptist Memorial Hospital Desoto
Southaven, MS 38671

Phone

(662) 772-3183

NPI assigned

Nov 24, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Baptist Memorial Hospital-Desoto, Inc,

  • General Acute Care Hospital
  • Southaven, MS
  • NPI 1194789818
  NPD (past)

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

{
    "created_epoch": "1259020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1259020800000",
    "number": "1922336387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1365 ARMAND DR",
            "address_2": "APT 104",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381038961",
            "telephone_number": "901-647-5496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PARKWAY",
            "address_2": "BAPTIST MEMORIAL HOSPITAL DESOTO",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "38671",
            "telephone_number": "662-772-3183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GALLOWAY",
        "first_name": "JUDY",
        "credential": "RD, LD, LDN, CDE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-24",
        "last_updated": "2009-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "MS",
            "license": "0903",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "TN",
            "license": "290",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Frog Services LLC.
• Steven J Fuson, D.D.S, M.S.
• Thaddeus B Gaillard Jr., MD
• Mary Morgan Galjour, PT, DPT
• Amy H Gallimore, LPC
• Vicky J Gamber, ATC
• Gamma Healthcare, Inc
• Douglas Edward Gardner, RPH
• Kelly Holloman Gardner, LPC
• Rashidah Gardner, LMSW

• Registered Dietitian in Southaven, MS
• Providers in Southaven, MS by specialty
• Registered Dietitian in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2009; 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.