ELIZABETH ROSE DEMELLO GALLAGHER (NPI# 1780015446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780015446 |
| Entity Type | Individual |
| Full Name | ELIZABETH ROSE DEMELLO GALLAGHER |
| Credential | AGNP, PMHNP |
| Practice Address |
2100 Dorchester Ave Dorchester MA 02124 |
| Mailing Address |
735 Attucks Ln Hyannis MA 02601-1867 |
| Practice Telephone | 6175064993 |
| Practice Fax Number | 6174743836 |
| Mailing Telephone | 5087780300 |
| Mailing Fax Number | 5087785439 |
| Enumeration Date | 2013-12-06 |
| Last Update Date | 2018-06-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
224262 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LG0600X |
Nurse Practitioner Specialization: Gerontology |
224262 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2100 DORCHESTER AVE |
| City | DORCHESTER |
| State | MA |
| Zip Code | 02124 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457965998 | Linda Aguiar | Nurse Practitioner | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-09-02 |
| 1306459128 | Ahmed Elsabbagh | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-08-31 |
| 1184233777 | Joseph Sarhan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-29 |
| 1972121879 | Ashley Alexander | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-08 |
| 1699393785 | Fnu Sameeullah | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-07-06 |
| 1508483033 | Chinonso Nduaguba | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-30 |
| 1760009583 | Harumi Esther Tokashiki Molina | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-26 |
| 1174140172 | Dennis Dwan | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-25 |
| 1073139176 | Emeka Agudile | Internal Medicine | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2020-06-24 |
| 1801412077 | Zachary James Carroll | Physical Therapist | 2100 Dorchester Ave, Dorchester, MA 02124-5666 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679109599 | Yolanda Barner | Behavioral Analyst | 241 Norfolk St, Dorchester, MA 02124 | 2020-03-23 |
| 1144878489 | Marissa Sneed | Case Manager/Care Coordinator | 1059 Tremont St Suit 2, Roxbury Crossing, ME 02124 | 2019-08-29 |
| 1407413487 | Adrian Velasquez Md LLC | Internal Medicine | 2110 Dorchester Ave Ste 205, Seton Building, Dorchester, MA 02124 | 2019-05-24 |
| 1164908794 | Genesis 365 Care LLC | Home Health Aide | 114 Fuller St # 1, Dorchester, MA 02124 | 2018-07-17 |
| 1821581422 | Prince Nwaford | Psychologist | 176 Harvard Street, 2, Boston, MA 02124 | 2018-06-08 |
| 1073026753 | Massachusetts Chiropractic Center LLC | Chiropractor | 879-881 Blue Hill Avenue, Dorchester, MA 02124 | 2017-11-16 |
| 1770096620 | Aly Tran | Behavior Technician | 232 Centre St, Dorchester, MA 02124 | 2017-11-14 |
| 1326564386 | Mildred R Gomez | Community Health Worker | 108 Norfolk St, Dorchester, MA 02124 | 2017-08-21 |
| 1871025585 | Dwight Dorcy | Assistant Behavior Analyst | 7 Samoset St # 3, Dorchester, MA 02124 | 2017-03-31 |
| 1346793452 | Jennie Lee | Nurse Practitioner | 425 Harvard St, Dorchester, MA 02124 | 2016-07-26 |
| Find all providers in zip 02124 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295344547 | Janelle Sherry Romain | Nurse Practitioner | 91 Codman Hill Ave, Dorchester, MA 02124-4636 | 2020-07-23 |
| 1235436114 | Seth Benjamin Katz | Nurse Practitioner | 60 Gibson St, #306, Dorchester, MA 02122-1258 | 2011-02-11 |
| 1780044297 | Patricia Stevenson | Nurse Practitioner | 2100 Dorchester Ave, Dorchester, MA 02124-5615 | 2016-02-25 |
| 1508140054 | Samantha Marie Sarno | Nurse Practitioner | 500 Columbia Rd, Dorchester, MA 02125-2322 | 2011-10-03 |
| 1790860583 | Kathleen Louise Barry | Nurse Practitioner | 230 Bowdoin St, Dorchester, MA 02122-1817 | 2006-10-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576121 | Alexander I Hoffman | Nurse Practitioner | 54 Southbourne Rd, Jamaica Plain, MA 02130-4633 | 2020-10-26 |
| 1104423482 | Paola Buchanan | Nurse Practitioner | 351 Engamore Ln Apt T3, Norwood, MA 02062-2505 | 2020-10-08 |
| 1649877705 | Stacey Rose Tosado | Nurse Practitioner | 108 Myrtle St Apt 3, Boston, MA 02114-4348 | 2020-10-02 |
| 1902411341 | Anne Marie Marie Dicredico | Nurse Practitioner | 916 Sherwood Forest Ln Unit 916, Saugus, MA 01906-1973 | 2020-09-12 |
| 1407460322 | Devi Sivanandan | Nurse Practitioner | 18 Dale St Unit 5c, Andover, MA 01810-5663 | 2020-09-08 |
| 1447863600 | Diana Stephanie Freiberger | Nurse Practitioner | 965 West St, Walpole, MA 02081-1200 | 2020-08-27 |
| 1063023216 | Christine Cibotti | Nurse Practitioner | 8 Forty Acres Dr, Wayland, MA 01778-2702 | 2020-08-12 |
| 1255940060 | Rosemarie Stebbins | Nurse Practitioner | 436 Dwight St Ste 205, Springfield, MA 01103-1317 | 2020-07-28 |
| 1245848852 | Patrice Nicholas | Nurse Practitioner | 14 Shipway Pl, Charlestown, MA 02129-4301 | 2020-07-20 |
| 1770191959 | Jaclyn L Fennell | Nurse Practitioner | 3 Hawser Ln, Swampscott, MA 01907-1238 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | DORCHESTER |
| Zip Code | 02124 |
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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.