TRACY RUTH GALLAGHER (NPI# 1396888970) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396888970 |
| Entity Type | Individual |
| Full Name | TRACY RUTH GALLAGHER |
| Credential | CPNP |
| Practice Address |
931 N Canal Blvd Thibodaux LA 70301-8095 |
| Practice Telephone | 9854466381 |
| Mailing Telephone | 9854466381 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-03-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
APO5128 | LA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| LA | 1004529 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538529425 | Tracy E Gallagher | Counselor | 246 Northland Dr Ste 200a, Medina, OH 44256-3440 | 2016-03-04 |
| 1326244716 | Tracy Kristine Gallagher | Chiropractor | 143 Palmer Ave, Falmouth, MA 02540-2871 | 2007-06-22 |
| 1184744005 | Tracy Ann Gallagher | Pediatrics | 715 Park Ave, New York, NY 10021-5047 | 2007-04-02 |
| 1447276316 | Tracy Lynn Gallagher | Family Medicine | 1821 S Webster Ave, Green Bay, WI 54301-2253 | 2006-07-14 |
| Street Address |
931 N CANAL BLVD |
| City | THIBODAUX |
| State | LA |
| Zip Code | 70301-8095 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086133 | Chantel Charpentier | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2005-10-11 |
| 1063048940 | Shawn M Keller | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2020-03-23 |
| 1780246660 | Mi'osha Bailey | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2019-07-01 |
| 1669996658 | Sunanda Kotapuri | Internal Medicine | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2017-08-01 |
| 1679922918 | Jennifer Boudreaux | Clinical Nurse Specialist | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2016-06-07 |
| 1073989224 | Kristy Hebert | Nurse Practitioner | 931 N Canal Blvd, Thibodaux, LA 70301-8095 | 2015-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1982112348 | Katie Leblanc | Massage Therapist | 1115 St. Mary Street, Thibodaux, LA 70301 | 2018-01-18 |
| 1154837391 | Texas Digestive Disease Consultants, Pllc | Internal Medicine | 764 North Acadia Road, Suite A, Thibodaux, LA 70301 | 2017-12-26 |
| 1235648239 | Speech and Feeding Therapy, LLC | Speech-Language Pathologist | 1000 Plantation Rd Ste 1a, Thibodaux, LA 70301 | 2017-09-22 |
| 1285150466 | Tara Payne | Counselor | 303 Hickory Street, Thibodaux, LA 70301 | 2017-08-18 |
| 1427583475 | Tyler Pettigrew | Counselor | 300 Plantation Rd., Apt #24, Thibodaux, LA 70301 | 2017-04-27 |
| 1750825758 | Jessica Barquet | Counselor | 110 Palm Villa Dr Apt 1, Thibodaux, LA 70301 | 2016-12-09 |
| 1013468230 | Shenee Haas Gros | Counselor | 504 Cherry St., Thibodaux, LA 70301 | 2016-10-24 |
| 1982155388 | Southern Ent Associates Inc | Audiologist | 604 North Acadia Road Suite 101, Thibodaux, LA 70301 | 2016-10-20 |
| 1215483888 | Lesheeca Norman, Lpc | Counselor | 306 Victoria Court, Thibodaux, LA 70301 | 2016-09-01 |
| Find all providers in zip 70301 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225539620 | Micah Aaron Callais | Nurse Practitioner | 604 N. Acadia Road, Suite 200, Thibodaux, LA 70301 | 2018-02-22 |
| 1649594441 | Jennifer D Rodrigue | Nurse Practitioner | 604 N Acadia Rd Ste 200, Thibodaux, LA 70301-4897 | 2010-03-23 |
| 1891704185 | Bernard Anthony Gaudin | Nurse Practitioner | 604 N Acadia Rd Ste 200, Thibodaux, LA 70301-4897 | 2006-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174138473 | Nickolas Matthews | Nurse Practitioner | 1307 Crowley Rayne Hwy Ste B, Crowley, LA 70526-8210 | 2020-09-14 |
| 1841809258 | Brandi Schwab | Nurse Practitioner | 157 Belington Ave, Madisonville, LA 70447-9109 | 2020-07-31 |
| 1780293878 | Cornerstone Childrens Clinic LLC | Nurse Practitioner | 44546 S Airport Rd Ste F, Hammond, LA 70403-0312 | 2020-07-24 |
| 1629691530 | Bayou Pediatrics | Nurse Practitioner | 2649 Arkansas Rd, West Monroe, LA 71291-8617 | 2020-05-27 |
| 1295376374 | Tatjana Michele Mimes | Nurse Practitioner | 3975 I 49 S Service Rd Ste 201, Opelousas, LA 70570-0775 | 2019-09-30 |
| 1063067411 | Arwa Mohammed Mohammed | Nurse Practitioner | 101 Medical Park Blvd Ste A, Pineville, LA 71360-8426 | 2019-08-02 |
| 1477118065 | Erin L Hurt | Nurse Practitioner | 59101 Amber St, Slidell, LA 70461-3708 | 2019-05-08 |
| 1033679501 | Laura Elizabeth Williamson | Nurse Practitioner | 501 Medical Center Dr Ste 100, Alexandria, LA 71301-8124 | 2019-03-21 |
| 1043703010 | Samantha Lee Lovecchio | Nurse Practitioner | 120 Ochsner Blvd Ste 245, Gretna, LA 70056-5280 | 2018-06-13 |
| 1639617103 | Lil Sprouts Pediatrics & Family Clinic LLC | Nurse Practitioner | 4624 Cypress St, Suite 6&7, West Monroe, LA 71291-1348 | 2017-02-05 |
| 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.