Active NPI
Marie Ann Gallagher, FNP
- Family Nurse Practitioner
- Dartmouth, MA
National Provider Identifier
1952099368
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- RN204597
- Practice address
- 531 Faunce Corner Rd
Dartmouth, MA 02747-1242 - Phone
- (508) 996-3991
- NPI assigned
- Apr 25, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | RN204597 | MA | Primary |
Addresses
Primary practice location
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Mailing address
531 Faunce Corner Rd
Dartmouth, MA 02747-1242
Phone (508) 996-3991
Other practice location 1
330 Brookline Ave
Boston, MA 02215-5491
Phone (617) 667-4318
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Interoperability endpoints
- mgallagher255409@direct.bilh.masshiway.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1685664000000",
"number": "1952099368",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "531 FAUNCE CORNER RD",
"city": "DARTMOUTH",
"state": "MA",
"postal_code": "027471242",
"telephone_number": "508-996-3991"
}
],
"practiceLocations": [
{
"address_1": "330 Brookline Ave",
"address_purpose": "LOCATION",
"city": "Boston",
"state": "MA",
"postal_code": "022155491",
"country_code": "US",
"telephone_number": "617-667-4318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GALLAGHER",
"first_name": "MARIE",
"middle_name": "ANN",
"credential": "FNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-25",
"last_updated": "2023-06-02",
"certification_date": "2023-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner, Family",
"state": "MA",
"license": "RN204597",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dartmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.