DR. SHAWN PATRICK GALLAGHER PMHNP-BC NPI 1710903281

NPI Information

NPI: 1710903281
Provider Name: DR. SHAWN PATRICK GALLAGHER, PMHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
2587 N BEVERLY PL
BUCKEYE, AZ
ZIP 85396
Phone: (210) 380-2107
Get Directions

DR. Shawn Patrick Gallagher, PMHNP-BC is a psychiatric/mental health nurse practitioner in Buckeye, AZ with 23 years of experience. DR. Shawn Patrick Gallagher, PMHNP-BC NPI is 1710903281. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

2587 N BEVERLY PL
BUCKEYE, AZ
ZIP 85396-793
Phone: (210) 380-2107

The NPI 1710903281 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 7/15/2006 and was last updated on 5/20/2022.

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	163W00000X	Registered Nurse		RN206577	ARIZONA	No
2	363LF0000X	Nurse Practitioner	Family	AP9999	ARIZONA	No
3	363LF0000X	Nurse Practitioner	Family	8879	WISCONSIN	No
4	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	8879	WISCONSIN	No
5	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	AP9995	ARIZONA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	241932	MEDICAID	ARIZONA

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: 4/28/2024

NPI Synchronization or Removal

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