MARIBETH T GALLAGHER (NPI# 1770862112) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770862112 |
| Entity Type | Individual |
| Full Name | MARIBETH T GALLAGHER |
| Credential | MS, RN, PMHNP-BC |
| Practice Address |
1510 E Flower St Phoenix AZ 85014-5698 |
| Mailing Address |
14202 N 70th Way Scottsdale AZ 85254-3484 |
| Practice Telephone | 6026362220 |
| Practice Fax Number | 6025306902 |
| Mailing Telephone | 6026362220 |
| Mailing Fax Number | 6025306902 |
| Enumeration Date | 2011-08-16 |
| Last Update Date | 2011-08-16 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
0390033 | AZ | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1510 E FLOWER ST |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85014-5698 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558362558 | Tariq Subhi Al-mutawa | Internal Medicine | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2005-08-02 |
| 1245867589 | Samantha Jordan Ramsay | Family Medicine | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2020-03-26 |
| 1417592197 | Adriana A Bonilla | Registered Nurse | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2019-11-17 |
| 1023662020 | Emily Kathryne Blau | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2019-07-29 |
| 1619530078 | Cecilia Ann Sondreaal | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2019-04-20 |
| 1487145173 | Misty R Albert | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2018-05-29 |
| 1073013645 | Mckenzie Raquel Mcclelland | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2018-02-20 |
| 1760905384 | Amie Boucher | Nurse Practitioner | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2017-07-25 |
| 1932632296 | Rachel Penning | Registered Nurse | 1510 E Flower St, Building 2, Phoenix, AZ 85014-5698 | 2017-04-04 |
| 1730581869 | Laurie L Work-criss | Social Worker | 1510 E Flower St, Phoenix, AZ 85014-5698 | 2014-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831796549 | Sherri Ann Rhodes | Registered Nurse | 5727 North 7th Street, Suite 308, Phoenix, AZ 85014 | 2020-10-06 |
| 1235746249 | Kaitlyn Landess | Occupational Therapist | 1190 W. Missouri Ave, Suite 100, Phoenix, AZ 85014 | 2020-09-24 |
| 1467088062 | Generational Bridges Neuropsychological Services Pllc | Clinical Neuropsychologist | 1515 E Missouri Dr, Phoenix, AZ 85014 | 2020-03-16 |
| 1861022881 | Daza Astrid Hernandez | Speech-Language Pathologist | 5314 N 7th Street, Phoeniz, AZ 85014 | 2020-01-17 |
| 1396213542 | Arizona Youth & Family Services Inc. | Community/Behavioral Health | 3707 N. 7th Street, Ste. 200, Phoenix, AZ 85014 | 2018-11-06 |
| 1366815508 | Dehp LLC | Case Management | 3707 N. 7th St., Ste # 310, Phoenix, AZ 85014 | 2015-11-10 |
| 1659751972 | Carla Parola | Counselor | 1300 E Missouri Ave Ste A-120, Phoenix, AZ 85014 | 2015-06-02 |
| 1659763597 | Dale Carroll Davis | Dentist | 3132 N. 7th St, Phoenix, AZ 85014 | 2015-03-02 |
| 1407247091 | Cynthia Ruzich | Psychologist | 1450 E. Indian School Rd. #101, Phoenix, AZ 85014 | 2015-02-18 |
| 1144618315 | Emily M Bentz | Specialist/Technologist | 3514 N. 7th St, Phoenix, AZ 85014 | 2014-12-22 |
| Find all providers in zip 85014 | ||||
| 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 |
|---|---|---|---|---|
| 1215536479 | Yolanda D Baugh | Nurse Practitioner | 2625 W Piedmont Rd, Phoenix, AZ 85041-9540 | 2020-10-20 |
| 1306450960 | Williamsconsultant Com LLC | Nurse Practitioner | 2303 N 44th St Ste 12-1043, Phoenix, AZ 85008-2442 | 2020-09-01 |
| 1912515305 | Victory Health Solution LLC | Nurse Practitioner | 9132 W Hubbell St, Phoenix, AZ 85037-4377 | 2020-07-21 |
| 1700494374 | Vanessa Moe | Nurse Practitioner | 42949 N Voyage Trl, Phoenix, AZ 85086-8040 | 2020-07-20 |
| 1043838527 | Latasha Lynne Freeman | Nurse Practitioner | 1919 E Thomas Rd Bldg 5th, Phoenix, AZ 85016-7710 | 2020-07-10 |
| 1861019416 | Gayle Cecilia Bachelier | Nurse Practitioner | 2302 N Central Ave Unit 303, Phoenix, AZ 85004-1373 | 2020-06-30 |
| 1871119156 | Ashlyn Tellers | Nurse Practitioner | 21438 N 33rd Ave, Phoenix, AZ 85027-2241 | 2020-06-22 |
| 1770109605 | Hannah Carita Jurekovic-byrd | Nurse Practitioner | 5727 N 7th St Ste 308, Phoenix, AZ 85014-5817 | 2020-06-16 |
| 1578188025 | Joseph Medlin | Nurse Practitioner | 915 N 52nd St Apt 2010, Phoenix, AZ 85008-7934 | 2020-06-10 |
| 1750901088 | Foothills Psychiatric Services Pllc | Nurse Practitioner | 3546 E Windmere Dr, Phoenix, AZ 85048-7211 | 2020-04-16 |
| Find all providers in PHOENIX | ||||
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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.