CAITLYN MOONEYHAM GALLAGHER NPI 1104271030

NPI Information

NPI: 1104271030
Provider Name: CAITLYN MOONEYHAM GALLAGHER
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: PRIVATE DIAGNOSTIC CLINIC, PLLC

PECOS Registration: Yes

Address:
3480 WAKE FOREST RD STE 310
RALEIGH, NC
ZIP 27609
Phone: (919) 862-5620
Get Directions

Caitlyn Mooneyham Gallagher is a family nurse practitioner in Raleigh, NC with 9 years of experience. Caitlyn Mooneyham Gallagher NPI is 1104271030. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3480 WAKE FOREST RD STE 310
RALEIGH, NC
ZIP 27609-376
Phone: (919) 862-5620

The NPI 1104271030 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/28/2016 and was last updated on 11/18/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	163WP0200X	Registered Nurse	Pediatrics	266220	NORTH CAROLINA	No
2	363LF0000X	Nurse Practitioner	Family	5008525	NORTH CAROLINA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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