MRS. KATHLEEN M. GALLAWAY (NPI# 1982663456) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982663456 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN M. GALLAWAY |
| Credential | CPNP |
| Practice Address |
130 Center Way Corning NY 14830-2255 |
| Mailing Address |
1 Guthrie Sq Sayre PA 18840-1625 |
| Practice Telephone | 6079369971 |
| Practice Fax Number | 6079362600 |
| Mailing Telephone | 5708885858 |
| Enumeration Date | 2006-03-22 |
| Last Update Date | 2011-07-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
369422-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F380308-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01568538 | 05 | |
| NY | RR MEDICARE GROUP | CC8362 | 01 |
| NY | RR MEDICARE PIN | 500001501 | 01 |
| Street Address |
130 CENTER WAY |
| City | CORNING |
| State | NY |
| Zip Code | 14830-2255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144227299 | Edward V Cordes | Optometrist | 130 Center Way, Corning, NY 14830-2255 | 2005-07-05 |
| 1639720873 | Patricia Anne Youngs | Nurse Practitioner | 130 Center Way, Corning, NY 14830-2287 | 2019-09-27 |
| 1386297745 | Christine Elizabeth Krohmalney | Nurse Practitioner | 130 Center Way, Corning, NY 14830-2255 | 2019-07-24 |
| 1194266163 | Jennifer Cornish | Registered Nurse | 130 Center Way, Corning, NY 14830-2255 | 2017-03-10 |
| 1386092641 | Jamie Alison Pace | Nurse Practitioner | 130 Center Way, Corning, NY 14830-2255 | 2016-05-27 |
| 1568849693 | Deepa Manimegalan | Pediatrics | 130 Center Way, Corning, NY 14830-2255 | 2015-04-27 |
| 1215330709 | Talia Calabro | Physician Assistant | 130 Center Way, Corning, NY 14830-2255 | 2014-09-29 |
| 1457776395 | Sisay Akalu | Preventive Medicine | 130 Center Way, Corning, NY 14830 | 2014-03-01 |
| 1144656091 | Guthrie Health | Durable Medical Equipment & Medical Supplies | 130 Center Way, Corning, NY 14830-2255 | 2013-09-24 |
| 1710327796 | Mireille Taufik | Family Medicine | 130 Center Way, Corning, NY 14830-2255 | 2013-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295358836 | Shehla Javed | Registered Nurse | 3 Corning Dr, Corning, NY 14830 | 2020-05-18 |
| 1285993246 | Karen Adams | Physical Therapy Assistant | 205 E. First, Corning, NY 14830 | 2012-05-11 |
| 1275802464 | Anne Bethany Stefanini | Registered Nurse | 36 Mcmahon Avenue, Corning, NY 14830 | 2011-12-19 |
| 1548538119 | Elizabeth Ruth Costello | Registered Nurse | 11 West Third Street, Corning Free Academy, Corning, NY 14830 | 2011-12-09 |
| 1760769418 | Elizabeth Regina Feulner | Registered Nurse | 143 Princton Ave, Northside Blodgett Middle School, Corning, NY 14830 | 2011-11-09 |
| 1073823423 | Joyce Berliner | Occupational Therapist | 33 Denison Parkway West, Corning, NY 14830 | 2010-10-19 |
| 1285880625 | Angie L. Degraff-dacey | Licensed Practical Nurse | 160 Florentia Ln E, Corning, NY 14830 | 2008-08-18 |
| 1003098393 | Marcia Louise Ritter | Pharmacist | 601 West Pulteney Street, Corning, NY 14830 | 2007-11-29 |
| 1023203247 | Suzan S Fenstermacher | Physician Assistant | 88 Tioga Ave., Suite 102, Corning, NY 14830 | 2007-09-11 |
| 1205047313 | Katherine Ann Colyer | Physical Therapist | 11849 East Corning Rd, Suite 108, Corning, NY 14830 | 2007-05-24 |
| Find all providers in zip 14830 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003203274 | Jennifer Sue Young | Nurse Practitioner | 1300 Creason Rd, Corning, AR 72422-1716 | 2015-04-24 |
| 1710258033 | Lisa Christine Condefer-smith | Nurse Practitioner | 88 Tioga Ave, Suite 102, Corning, NY 14870 | 2012-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932709821 | Shu-heng Wang | Nurse Practitioner | 7324 18th Ave, Brooklyn, NY 11204-5678 | 2020-10-29 |
| 1952909012 | Marina Byshovets | Nurse Practitioner | 164 Admiralty Loop, Staten Island, NY 10309-3964 | 2020-10-12 |
| 1700483799 | Dmitry Pediatrics, Pediatric Nurse Practitioner PC | Nurse Practitioner | 10 Shore Blvd Apt 1g, Brooklyn, NY 11235-4022 | 2020-10-03 |
| 1427664572 | Leigh Ann Cohen | Nurse Practitioner | 2 Lincoln Ave Ste 301, Rockville Centre, NY 11570-5775 | 2020-09-23 |
| 1295341436 | Tatiana Margaret Masone | Nurse Practitioner | 3142 Victory Blvd, Staten Island, NY 10314-6717 | 2020-09-22 |
| 1992311567 | Jyneva W Pickel | Nurse Practitioner | 3959 Broadway Rm 722, New York, NY 10032-1559 | 2020-09-19 |
| 1902410186 | Katie Elise Boyd | Nurse Practitioner | 725 Irving Ave Ste 504, Syracuse, NY 13210-1683 | 2020-09-03 |
| 1437763877 | Tiffany Yu | Nurse Practitioner | 1746 W 12th St, Brooklyn, NY 11223-1101 | 2020-09-02 |
| 1134733710 | Khristan Heagle Haller | Nurse Practitioner | 20 Locust Ln, Bronxville, NY 10708-4933 | 2020-09-01 |
| 1831703412 | Marijana Waite | Nurse Practitioner | 6544 Saunders St Apt A7, Rego Park, NY 11374-4209 | 2020-09-01 |
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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.