RUDOLPH GALLEGOS (NPI# 1790907723) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790907723 |
| Entity Type | Individual |
| Full Name | RUDOLPH GALLEGOS |
| Credential | RN |
| Practice Address |
2400 S 48th St Springdale AR 72762 |
| Practice Telephone | 4797502020 |
| Practice Fax Number | 4798722441 |
| Mailing Telephone | 4797502020 |
| Mailing Fax Number | 4798722441 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WA2000X |
Registered Nurse Specialization: Administrator |
R-67399 | AR | Nursing Service Providers |
| Street Address |
2400 S 48TH ST |
| City | SPRINGDALE |
| State | AR |
| Zip Code | 72762 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568461887 | Ozark Guidance Center, Inc | Residential Treatment Facility, Emotionally Disturbed Children | 2400 S 48th St, Springdale, AR 72762-6683 | 2005-07-19 |
| 1043811136 | Brook Taylor Mattison | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-04 |
| 1861093171 | Leah Belote | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-11-03 |
| 1578162764 | Cierra Creek | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-20 |
| 1083211718 | Michelle Legan | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1235736976 | Haley Medford | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-10-06 |
| 1174130926 | Mallory Cornett | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-09-25 |
| 1235742859 | Emily Magee | Social Worker | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-24 |
| 1932710134 | Sara Ruth Nelson | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-08-11 |
| 1659904548 | Danica Bass | Case Manager/Care Coordinator | 2400 S 48th St, Springdale, AR 72762-6683 | 2020-02-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861013443 | Samantha G Abbey | Behavior Technician | 6836 Issac's Orchard Rd, Springdale, AR 72762 | 2020-05-05 |
| 1598393605 | Highlands Oncology Group Pa | Pharmacy | 3901 Parkway Circle, Springdale, AR 72762 | 2020-04-01 |
| 1366922320 | Mercy Northwest Arkansas Ambulatory Services LLC | Clinic/Center | 4962 Elm Springs Road, Suite 5, Springdale, AR 72762 | 2018-08-20 |
| 1790281087 | Cheryl Nikol Treat | Nurse Practitioner | 6801 Isaacs Orchard Rd Ste 211, Springdale, AR 72762 | 2018-04-04 |
| 1902304876 | Northwest Arkansas Physical Ability Testing Center, P.a. | Clinic/Center | 4001 Wagon Wheel Road, Springdale, AR 72762 | 2018-01-25 |
| 1609387612 | Rodriguez Dentistry Pllc | Dentist | 1521 Executive Place, Suite A, Springdale, AR 72762 | 2017-10-17 |
| 1306370630 | Medworks LLC | Internal Medicine | 986 Elmwood, Suite C, Springdale, AR 72762 | 2017-04-13 |
| 1790223006 | Sam's West, Inc. | Technician/Technologist | 1517 Gene George Blvd, Springdale, AR 72762 | 2017-02-07 |
| 1255875746 | Arkansas Childrens Northwest, Inc. | General Acute Care Hospital | 2601 South 56th Street, Springdale, AR 72762 | 2016-12-19 |
| 1114473261 | Whitney E Mix | Counselor | 1672 South 48th Street, Suite B, Springdale, AR 72762 | 2016-08-29 |
| Find all providers in zip 72762 | ||||
| Taxonomy Code | 163WA2000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Administrator |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518250778 | Mary Dale Bassett | Registered Nurse | 2400 S 48th St, Springdale, AR 72762-6683 | 2011-05-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568585834 | Leila Catherine May | Registered Nurse | 10325 Ne Jeter Rd, Fayetteville, AR 72701-9295 | 2007-04-09 |
| 1881974954 | Janet Adele Blankenship | Registered Nurse | 3204 E Moore St, Searcy, AR 72143-4826 | 2011-08-22 |
| 1871752550 | Peggy Jean Walker | Registered Nurse | 3204 E Moore Ave, Searcy, AR 72143-4826 | 2008-06-06 |
| 1508054487 | Regina Hopson | Registered Nurse | 600 Main St, Suite V, Hot Springs, AR 71913-4905 | 2007-10-04 |
| 1366637498 | Lajarlyn Rose Wesley | Registered Nurse | 501 E Main St, Gurdon, AR 71743-1243 | 2007-09-12 |
| 1841407079 | Jeanne Boschert | Registered Nurse | 210 Manor St, Marion, AR 72364-1936 | 2007-05-17 |
| 1285760553 | Kathy Frazier-mays | Registered Nurse | 6501 W 12th St, Little Rock, AR 72204-1511 | 2007-02-23 |
| 1457401697 | Dottie L Gann | Registered Nurse | 4300 W 7th St, Little Rock, AR 72205-5446 | 2007-01-11 |
| City | SPRINGDALE |
| Zip Code | 72762 |
Please comment or provide details below to improve the information on RUDOLPH GALLEGOS.
| 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.