Active NPI
Hannah Julia Gallivan, R.D.
- Registered Dietitian
- Buffalo, NY
National Provider Identifier
1922819630
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- Practice address
- 1001 Main St
FL. 4
Buffalo, NY 14203-1009 - Phone
- (716) 323-0170
- Fax
- (716) 323-0297
- NPI assigned
- Jan 14, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | Primary |
Addresses
Primary practice location
1001 Main St
FL. 4
Buffalo, NY 14203-1009
Mailing address
1001 Main St
FL. 5
Buffalo, NY 14203-1009
Phone (716) 323-0225
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012494 | NY | MD | Sports Physician Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University at Buffalo Pediatric Associates Inc | Current | Accepting new patients |
Locations
1001 Main St
Fl 4
Buffalo, NY 14203
Phone (716) 636-8284
1001 Main St
Fl 5
Buffalo, NY 14203
Phone (716) 323-0031
1404 Sweet Home Rd
Ste 56
Buffalo, NY 14228
Phone (716) 639-9361
1404 Sweet Home Rd
Buffalo, NY 14228
Phone (716) 932-6060
Organizations & group practices 1
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.
-
- Pediatrics Physician
- Buffalo, NY
- NPI 1912928599
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736812800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736812800000",
"number": "1922819630",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 MAIN ST",
"address_2": "FL. 5",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0225",
"fax_number": "716-323-0293"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 MAIN ST",
"address_2": "FL. 4",
"city": "BUFFALO",
"state": "NY",
"postal_code": "142031009",
"telephone_number": "716-323-0170",
"fax_number": "716-323-0297"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GALLIVAN",
"first_name": "HANNAH",
"middle_name": "JULIA",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-01-14",
"last_updated": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.