CAROL W GALLAGHER (NPI# 1790891323) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790891323 |
| Entity Type | Individual |
| Full Name | CAROL W GALLAGHER |
| Credential | APRN |
| Practice Address |
263 Farmington Avenue Farmington CT 06030 |
| Mailing Address |
263 Farmington Avenue Farmington CT 06030-8082 |
| Practice Telephone | 8606792160 |
| Practice Fax Number | 8606791422 |
| Mailing Telephone | 8606792160 |
| Mailing Fax Number | 8606791422 |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2019-05-07 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
002146 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
002146 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
002146 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 21 South Rd, Suite 100, Farmington, CT 060322482 | 8604094567 | 8604094846 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295944973 | Carol Gallagher | Nurse Practitioner | 2540 Us Highway 130 Ste 118, Cranbury, NJ 08512-3519 | 2007-05-21 |
| 1760529234 | Carol A Gallagher | Dentist | 36600 Heritage Dr., Richmond, MI 48062 | 2007-01-31 |
| Street Address |
263 FARMINGTON AVENUE |
| City | FARMINGTON |
| State | CT |
| Zip Code | 06030 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669466561 | State of Connecticut | Clinic/Center | 263 Farmington Avenue, Farmington, CT 06030-5355 | 2005-09-07 |
| 1619584026 | Sylvia Polanco | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8203 | 2020-09-29 |
| 1154930956 | Lindsay Allison Petriello | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030 | 2020-07-28 |
| 1891304663 | Kara Dazkevich | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-0001 | 2020-07-28 |
| 1093324873 | Kaitlin Jeanne O'connor | Nurse Practitioner | 263 Farmington Avenue, Icu, University Tower, 1st Floor, Mail Code: 1131, Farmington, CT 06030 | 2020-07-28 |
| 1457975070 | Shriya Gupta | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Uconn Health - Outpatient Pavilion, Farmington, CT 06030-8031 | 2020-05-29 |
| 1114540150 | Carolina Mendes Pessoa | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, 2 West Uconn Clinic, Internal Medicine Associates, Ou, Farmington, CT 06032 | 2020-05-26 |
| 1457971293 | Christopher Dalton Lemoine | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-8073 | 2020-04-22 |
| 1871112953 | Cory Hewitt | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-4037 | 2020-04-09 |
| 1154940310 | Jeffrey Henry | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue, Farmington, CT 06030-1930 | 2020-04-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821617606 | David Wozny | Student in an Organized Health Care Education/Training Program | General Medicine Clinic, Outpatient Pavillion-2 East, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-13 |
| 1508495185 | Zachary Boivin | Student in an Organized Health Care Education/Training Program | Emergency Medicine Office, 263 Farmington Ave, Farmington, CT 06030 | 2020-04-06 |
| 1063903730 | Agura Afiari | Student in an Organized Health Care Education/Training Program | Uconn School of Medicine, 263 Farmington Avenue, Farmington, CT 06030 | 2018-05-29 |
| 1750879474 | Areeba Siddiqui | Student in an Organized Health Care Education/Training Program | 263 Farmington Avenue Mc1921, Farmington, CT 06030 | 2018-04-27 |
| 1508362013 | Arya Saniee I | Student in an Organized Health Care Education/Training Program | 264 Farmington Ave, Farmington, CT 06030 | 2018-04-03 |
| 1679828594 | Randall Morera | Student in an Organized Health Care Education/Training Program | 262 Farmington Ave, Farmington, CT 06030 | 2012-07-17 |
| 1750644365 | Ugonna Ijeoma | Student in an Organized Health Care Education/Training Program | 260 Farmington Ave, Farmington, CT 06030 | 2012-06-19 |
| 1407018419 | Julia Marie Toto | Plastic Surgery | University Physicians, 263 Farmington Avenue, Farmington, CT 06030 | 2008-06-30 |
| 1851456495 | Jeffrey Gross | Anesthesiology | 263 Farmington Avenue, Mc-2015, John Dempsey Hospital, Farmington, CT 06030 | 2006-12-26 |
| 1649225269 | Julian Nieves | Internal Medicine | 263 Famrington Avenue, Farmington, CT 06030 | 2006-05-23 |
| Find all providers in zip 06030 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568777530 | Jacqueline Del Val | Nurse Practitioner | 622 W Maple St Ste F, Farmington, NM 87401-6589 | 2010-08-13 |
| 1841459062 | Theresa L Hart | Nurse Practitioner | 6172 Fawn Meadow St, Farmington, NY 14425-1115 | 2008-06-03 |
| 1114922069 | Courtney Danielle Holmes | Nurse Practitioner | Uconn Medical Group, 263 Farmington Avenue, Farmington, CT 06030-0001 | 2005-06-16 |
| 1891394995 | Ewa Jaszczolt | Nurse Practitioner | 263 Farmington Ave, Farmington, CT 06030-0001 | 2020-10-20 |
| 1285286757 | Lauren Elizabeth Varanelli | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-0001 | 2019-07-15 |
| 1124505714 | Angela Marie Virella | Nurse Practitioner | 10 Talcott Notch, Farmington, CT 06032 | 2018-07-26 |
| 1639668221 | Zenna E Bell | Nurse Practitioner | 501 Farmington Ave, Farmington, CT 06032-1901 | 2018-05-09 |
| 1174988281 | Shannon Owens | Nurse Practitioner | 1012 W Columbia St, Farmington, MO 63640-2902 | 2015-12-17 |
| 1326412065 | Olga M Nesta | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8040 | 2015-11-18 |
| 1902203037 | Leslie Margot Lindgren | Nurse Practitioner | 263 Farmington Avenue, Farmington, CT 06030-8082 | 2014-12-04 |
| Find all providers in FARMINGTON | ||||
| City | FARMINGTON |
| Zip Code | 06030 |
Please comment or provide details below to improve the information on CAROL W GALLAGHER.
| 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.