MELISSA JO GALLARDO (NPI# 1578039749) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578039749 |
| Entity Type | Individual |
| Full Name | MELISSA JO GALLARDO |
| Credential | NP |
| Practice Address |
225 State Ave Ne Olympia WA 98501-6951 |
| Mailing Address |
3156 Hoffman Hill Blvd Dupont WA 98327-8718 |
| Practice Telephone | 3604866400 |
| Practice Fax Number | 3607423787 |
| Enumeration Date | 2018-10-15 |
| Last Update Date | 2018-10-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
AP60898493 | WA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700981305 | Melissa Sue Gallardo | Counselor | 441 No Main St, Alturas, CA 96101 | 2006-09-14 |
| 1942777396 | Melissa Lourdes Gallardo | Marriage & Family Therapist | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2018-10-24 |
| Street Address |
225 STATE AVE NE |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98501-6951 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023550050 | Providence Health & Services Washington | Psychologist | 225 State Ave Ne, Olympia, WA 98501-6951 | 2016-11-08 |
| 1629638861 | Sidewalk | Case Management | 225 State Ave Ne, Olympia, WA 98501-6951 | 2019-06-19 |
| 1205309937 | Lewis County Community Health Services | Clinic/Center | 225 State Ave Ne, Olympia, WA 98501-6951 | 2019-01-04 |
| 1548735889 | Brandee Lizbeth Mcclinton | Counselor | 225 State Ave Ne, Olympia, WA 98502 | 2018-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124651880 | Marie T Bendig | Counselor | 900 Fairview St Se, #b5, Olympia, WA 98501 | 2020-02-20 |
| 1205469970 | Thurston County Fire Protection Dist 6 | Ambulance | 8047 Normandy St. Se, Olympia, WA 98501 | 2020-02-20 |
| 1134768799 | Living Sound Therapeutic Services, Pllc | Counselor | 729 Devoe St Se, Olympia, WA 98501 | 2019-12-31 |
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1093272841 | Eye Love Pllc | Optometrist | 3409 Capitol Blvd Se, Tumwater, WA 98501 | 2019-02-28 |
| 1356815062 | Kerri Wright | Marriage & Family Therapist | 208 Lee St Sw Ste 108, Tumwater, WA 98501 | 2019-01-15 |
| 1952881161 | Paige Gautreaux | Peer Specialist | 908 5th Avenue Se, Olympia, WA 98501 | 2018-08-16 |
| 1548773997 | Carla Van Dam | Psychologist | 2620 Rw Johnson Blvd Sw Suite 204, Tumwater, WA 98501 | 2017-11-08 |
| 1528577202 | Ronald John San Nicolas | Counselor | 1011 10th Ave, Olympia, WA 98501 | 2017-09-25 |
| 1063964187 | Emily Rapesak | Pharmacist | 500 Cleveland Ave Se, Tumwater, WA 98501 | 2016-10-25 |
| Find all providers in zip 98501 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801353719 | Boyd Cowan, LLC | Nurse Practitioner | 209 4th Ave E Ste 214, Olympia, WA 98501-6969 | 2019-02-27 |
| 1760811475 | Psychiatric Services of Olympia Pllc | Nurse Practitioner | 2114 Caton Way Sw, 201, Olympia, WA 98502-1177 | 2013-11-04 |
| 1336441765 | Laura Wagner | Nurse Practitioner | 1700 Cooper Point Road Sw, Ste C-4, Olympia, WA 98502 | 2010-11-17 |
| 1992886956 | Jennifer Ann Clingenpeel | Nurse Practitioner | 200 Lilly Rd Ne Ste C, Olympia, WA 98506-5080 | 2006-10-18 |
| 1316574056 | Tausha Mccarthy | Nurse Practitioner | 908 5th Ave Se, Olympia, WA 98501-1507 | 2020-03-24 |
| 1669016093 | Tracie Ross | Nurse Practitioner | 908 5th Ave Se, Olympia, WA 98501-1507 | 2019-10-29 |
| 1952958803 | Genuine Healthcare, Pllc | Nurse Practitioner | 1800 Cooper Point Rd Sw Ste 19, Olympia, WA 98502-1179 | 2019-08-23 |
| 1952897373 | West Olympia Psychiatry Pllc | Nurse Practitioner | 924 7th Ave Se, Olympia, WA 98501-1548 | 2018-07-09 |
| 1124400783 | Diana Liebner | Nurse Practitioner | 3857 Martin Way E, Olympia, WA 98506-5268 | 2015-06-19 |
| 1700267374 | Amy Lorraine Heckler | Nurse Practitioner | 3030 Limited Ln Nw, Olympia, WA 98502-2704 | 2015-06-09 |
| Find all providers in OLYMPIA | ||||
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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.