KELLY GALLO (NPI# 1043767874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043767874 |
| Entity Type | Individual |
| Full Name | KELLY GALLO |
| Credential | WHNP-BC |
| Practice Address |
10680 Main St Suite 190 Fairfax VA 22030-3810 |
| Practice Telephone | 7036911188 |
| Practice Fax Number | 7036912384 |
| Mailing Telephone | 7036911188 |
| Mailing Fax Number | 7036912384 |
| Enumeration Date | 2016-09-09 |
| Last Update Date | 2016-09-09 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
0024173939 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258358 | Kelly Nicole Gallo | Physical Therapist | 245 Newtown Rd Ste 102, Plainview, NY 11803-4317 | 2020-09-07 |
| 1053700880 | Kelly A Gallo | Hearing Instrument Specialist | 10316 S Cicero Ave, Oak Lawn, IL 60453-4702 | 2015-01-16 |
| Street Address |
10680 MAIN ST SUITE 190 |
| City | FAIRFAX |
| State | VA |
| Zip Code | 22030-3810 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205833910 | Soo Woong Park | Internal Medicine | 10680 Main St, Ste 130, Fairfax, VA 22030-3811 | 2005-07-07 |
| 1801202536 | Care Advantage Inc | Home Health | 10680 Main St, Fairfax, VA 22030-3810 | 2014-07-02 |
| 1467690743 | T & J Chiropractic Inc | Acupuncturist | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2009-01-26 |
| 1619075330 | Jong Hee Cho | Chiropractor | 10680 Main St, Suite 275, Fairfax, VA 22030-3810 | 2006-09-20 |
| 1578570040 | Jamie H Park | Dentist | 10680 Main St, Suite 150, Fairfax, VA 22030-3810 | 2006-08-01 |
| 1821054933 | James Patrick Kacedan | Obstetrics & Gynecology | 10680 Main St, Suite 190, Fairfax, VA 22030-3810 | 2006-04-26 |
| 1407824881 | Al-juburi Urology, Pllc | Specialist | 10680 Main St, Suite 100, Fairfax, VA 22030-3810 | 2006-03-10 |
| 1396729372 | Amer Z Al-juburi | Specialist | 10680 Main St, Suite 100, Fairfax, VA 22030-3810 | 2005-12-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205449477 | Perry Camp Jr. | Psychologist | 4403 Dixie Hill Rd, Unit 205, Fairfax, VA 22030 | 2020-08-28 |
| 1952940322 | Brightview Fair Oaks, LLC | Alzheimer Center (Dementia Center) | 12725 Lee Highway, Fairfax, VA 22030 | 2020-01-02 |
| 1245871524 | Tori Sprowl | Behavioral Analyst | 10430 Democracy Lane #102b & 103, Fairfax, VA 22030 | 2019-10-08 |
| 1528612124 | Paul Sarigianis | Student in an Organized Health Care Education/Training Program | 10379b Democracy Lane, Fairfax, VA 22030 | 2019-07-31 |
| 1497221303 | Kahak, Inc. | Day Training, Developmentally Disabled Services | 10560 Main Street Suite Ps100, Fairfax, VA 22030 | 2018-10-17 |
| 1689177073 | Shamoona Sharif | Dentist | 11050 Lee Hwy, Fairfax, VA 22030 | 2018-03-13 |
| 1205339538 | Rachael Lee Greene | Social Worker | 4403 Dixie Hill Rd. #206, Fairfax, VA 22030 | 2018-03-13 |
| 1558863027 | Jacqueline Renee Bauer | Skilled Nursing Facility | 10701 Main Street, Fairfax, VA 22030 | 2018-03-01 |
| 1275033607 | Philajo Global LLC | Non-emergency Medical Transport (VAN) | 4521 Billingham Street, Fairfax, VA 22030 | 2018-02-12 |
| 1376050401 | Alexander Harrison | Counselor | 4400 University Drive, Ms 2a2, Fairfax, VA 22030 | 2018-01-10 |
| Find all providers in zip 22030 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588623540 | Rebecca Lynn Wilkes | Nurse Practitioner | 333 Revolutionary Trail, Fairfax, SC 29827 | 2006-03-20 |
| 1295394526 | Elise Mcmanaman | Nurse Practitioner | 8081 Innovation Park Dr Ste 775, Fairfax, VA 22031-4867 | 2019-06-11 |
| 1487194262 | Molly Boyer Broache | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033-1710 | 2017-02-28 |
| 1164812723 | Jessica Padilla | Nurse Practitioner | 3025 Hamaker Ct, Suite #360, Fairfax, VA 22031-2237 | 2015-02-03 |
| 1629366992 | Leah Catherine Elk | Nurse Practitioner | 3650 Joseph Siewick Dr, Suite 203, Fairfax, VA 22033 | 2011-07-20 |
| 1053580597 | Carola (none) Bruflat | Nurse Practitioner | 8501 Arlington Blvd Ste 300, Fairfax, VA 22031-4625 | 2008-02-28 |
| 1104979061 | Delois Daniels | Nurse Practitioner | 333 Revolutionary Trl, Fairfax, SC 29827-7109 | 2007-01-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396358651 | Mickeya Patrice Hayes | Nurse Practitioner | 700 Oak Grove Rd, Chesapeake, VA 23320-3728 | 2020-08-26 |
| 1538790092 | Megan Renae Deel | Nurse Practitioner | 14533 Peaceful Valley Rd, Abingdon, VA 24210-8109 | 2020-02-03 |
| 1609415249 | Kaamilya King | Nurse Practitioner | 5100 Avia Cir Apt 207, Richmond, VA 23233-7840 | 2019-12-30 |
| 1609419704 | Crystal Zacker | Nurse Practitioner | 3843 Mountain Rd, Glen Allen, VA 23060-1936 | 2019-10-21 |
| 1144885849 | Rachel Daou Featherstone | Nurse Practitioner | 8639 Mayland Dr Ste 102, Richmond, VA 23294-4752 | 2019-05-08 |
| 1326500976 | Adetutu Marioghae | Nurse Practitioner | 12783 Sidney Way, Lake Ridge, VA 22192-7611 | 2019-04-03 |
| 1568928398 | Laurie Carpenter | Nurse Practitioner | 1300 Hospital Dr Ste 202, Fredericksburg, VA 22401-8451 | 2019-02-18 |
| 1659871713 | Emily Nobles | Nurse Practitioner | 3720 Holland Rd Ste 101, Virginia Beach, VA 23452-2859 | 2018-02-15 |
| 1619490661 | Misti S Gray | Nurse Practitioner | 2296 Optiz Blvd, Suite 440, About Women Ob/gyn, Woodbridge, VA 22191 | 2017-07-21 |
| 1437604881 | Rosalie Marie Gunson | Nurse Practitioner | 200 Executive Center Pkwy Ste 102, Fredericksburg, VA 22401-3177 | 2016-08-15 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.