MRS. SUSAN D GALLARDO


Address: 900 Walnut Street, Thomas Jefferson University Physicians Suite 200, Philadelphia, PA 19107
Phone: 2159556939

MRS. SUSAN D GALLARDO (NPI# 1154621449) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154621449
Entity Type Individual
Full Name MRS. SUSAN D GALLARDO
Credential CRNP
Practice Address 900 Walnut Street
Thomas Jefferson University Physicians Suite 200
Philadelphia
PA 19107
Mailing Address 900 Walnut Street
2nd Floor
Philadelphia
PA 19107
Practice Telephone 2159556939
Practice Fax Number 2155032990
Mailing Telephone 2159557000
Mailing Fax Number 2159233504
Enumeration Date 2010-11-02
Last Update Date 2014-04-14
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 163WN0800X Registered Nurse
Specialization: Neuroscience
SP010847 PA Nursing Service Providers
Y 363L00000X Nurse Practitioner SP010847 PA Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
PA 102886280 05

Other Providers SUSAN GALLARDO

NPI Name Taxonomy Address Enumeration
1225389182 Susan Marie Gallardo Social Worker 500 S Main St Ste 1100, Orange, CA 92868-4513 2012-10-01

Office Location

Street Address 900 WALNUT STREET
THOMAS JEFFERSON UNIVERSITY PHYSICIANS SUITE 200
City PHILADELPHIA
State PA
Zip Code 19107

Providers in the same location

NPI Name Taxonomy Address Enumeration
1487819900 Jefferson University Physicians Special Hospital 900 Walnut Street, Jefferson Hospital for Neuroscience, Philadelphia, PA 19107 2008-07-24
1619409364 Kalla Alexis Gervasio Ophthalmology 900 Walnut Street, Emergency Room, Philadelphia, PA 19107 2017-03-31

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1578170940 Stephanie Quist Pharmacist 1 S Broad Street, Philadelphia, PA 19107 2020-09-29
1457968448 Cloudline Physical Therapy LLC Physical Therapist 239-241 South 10th St, Philadelphia, PA 19107 2020-09-24
1053931303 Wilson Wong Pharmacist Cvs Pharmacy #450, 3401 Walnut St, Philadelphia, PA 19107 2020-04-16
1326608779 Pascal Lavergne Neurological Surgery 111 11th St, Thomas Jefferson University, Philadelphia, PA 19107 2019-06-18
1639632185 Taylor D'amore Orthopaedic Surgery 925 Chest Street 5th Floor, Philadelphia, PA 19107 2019-04-11
1043779630 Heather Lynn Yenser Nurse Practitioner 111 S. 11th St., Jefferson Vascular Center (6th Floor), Philadelphia, PA 19107 2019-03-14
1174093702 Jennifer Lynn Kengeter Psychologist 900 Walnut Street, Suite 200, Philadelphia, PA 19107 2018-11-27
1649751843 Rachel Wint Physician Assistant 231 N Broad St Fl 2, Philadelphia, PA 19107 2018-08-24
1922588623 Hyung Bin Lee Dentist 315 N 12th St, Apt 803, Philadelphia, PA 19107 2018-08-21
1750860490 Anastasiya Khlypnych Physician Assistant 111 S. 11th Street, Suite 2170, Gibbon Bldg Suite 6210, Philadelphia, PA 19107 2018-08-13
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Taxonomy Information

Taxonomy Code 363L00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner

Taxonomy Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1922619642 Michelle Marie Platzer Nurse Practitioner 1238 N Mascher St, Philadelphia, PA 19122-4617 2020-08-14
1801411855 Betty Sophia Glauberzon Nurse Practitioner 1810 Rittenhouse Sq Apt 2104, Philadelphia, PA 19103-5830 2020-06-15
1356966717 Lorraine Denise Hicks Nurse Practitioner 7923 Gilbert St, Philadelphia, PA 19150-2505 2020-06-11
1740813682 Marina Rakitskaya Nurse Practitioner 9816 Bonner St, Philadelphia, PA 19115-2304 2020-02-19
1841755014 Kristen M Wright Nurse Practitioner 925 Chestnut St Apt 323a, Philadelphia, PA 19107-4216 2019-02-01
1649745241 Chermal Rondell Moore Nurse Practitioner 1017 W Beacon St, Philadelphia, MS 39350-3218 2018-10-10
1588148175 Eileen Mangabat Hummel Nurse Practitioner 3900 Woodland Ave # 127, Philadelphia, PA 19104-4551 2018-09-19
1225532344 Stacy Lynn Brix Nurse Practitioner 4417 N 6th St # 2319, Philadelphia, PA 19140-2319 2018-03-22
1275037087 Esther Andreessen Nurse Practitioner 3457 Eden St, Philadelphia, PA 19114-3605 2018-03-19
1265931570 Maia Lindsey Francis Nurse Practitioner 2301 E Allegheny Ave Ste 203, Philadelphia, PA 19134-4427 2018-02-02
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Competitor

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City PHILADELPHIA
Zip Code 19107

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Dataset Information

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.

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