MS. DOMINIQUE S GALLO (NPI# 1902202872) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902202872 |
| Entity Type | Individual |
| Full Name | MS. DOMINIQUE S GALLO |
| Credential | BS, IBCLC, RLC |
| Practice Address |
3537 Berryhill Dr Roanoke VA 24018-4403 |
| Practice Telephone | 7575982507 |
| Practice Fax Number | 5404442309 |
| Mailing Telephone | 7575982507 |
| Mailing Fax Number | 5404442309 |
| Enumeration Date | 2014-11-05 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174N00000X | Lactation Consultant, Non-RN | L-6071 | VA | Other Service Providers |
| N | 174N00000X | Lactation Consultant, Non-RN | Other Service Providers |
| Street Address |
3537 BERRYHILL DR |
| City | ROANOKE |
| State | VA |
| Zip Code | 24018-4403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770140253 | Luz Dione Carr | Nurse Practitioner | 1934 Maple Leaf Drive, Roanoke, VA 24018 | 2019-05-21 |
| 1467926527 | Embrace Foster Care, LLC | Foster Care Agency | 3912 Electric Road, Building C, Roanoke, VA 24018 | 2019-01-11 |
| 1174005417 | Roanoke Valley Ent & Allergy PC | Otolaryngology | 2154 Mcvitty Rd, Second Floor, Roanoke, VA 24018 | 2018-09-04 |
| 1265928535 | Jane Willis Warner | Behavior Technician | 3243 Electric Road Building E Suite 1b, Roanoke, VA 24018 | 2018-07-10 |
| 1821584640 | Anchor To Hope Counseling LLC | Counselor | 4370 Starkey Rd Ste 4c-1, Roanoke, VA 24018 | 2018-07-04 |
| 1164938619 | Aurora Domangue | Behavior Technician | 3243 Electric Road, Building E Suite 1b, Roanoke, VA 24018 | 2017-12-20 |
| 1376059089 | Maggie Marie Ridgeway | Behavior Technician | 3243 Electric Rd., Building E Suite 1b, Roanoke, VA 24018 | 2017-12-18 |
| 1700301850 | Nicole Graboski | Speech-Language Pathologist | 4920 Woodmar Drive Sw, Roanoke, VA 24018 | 2017-08-10 |
| 1891215893 | Kimberly Anne Rosenberger | Occupational Therapy Assistant | 2772 Hillbrook Dr., Roanoke, VA 24018 | 2017-06-21 |
| 1083158950 | Encompass Home Health of Roanoke, LLC | Home Health | 5115 Bernard Drive, Suite 205, Roanoke, VA 24018 | 2016-12-13 |
| Find all providers in zip 24018 | ||||
| Taxonomy Code | 174N00000X |
| Grouping | Other Service Providers |
| Classification | Lactation Consultant, Non-RN |
| An individual trained to provide breastfeeding assistance services to both mothers and infants. Lactation Consultants are not required to be nurses and are trained through specific courses of education. The Lactation Consultant may have additional certification through a national or international organization. |
| Notes: Source: National Uniform Claim Committee [1/1/2011: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215491238 | Erin Elizabeth Vandelinde | Lactation Consultant, Non-RN | 7201 Mount Chestnut Rd, Roanoke, VA 24018-7745 | 2019-01-23 |
| 1730621913 | Katherine Havener | Lactation Consultant, Non-RN | 7922 Sequoia Dr, Roanoke, VA 24019-1847 | 2016-11-05 |
| 1710510045 | Havener Ventures LLC | Lactation Consultant, Non-RN | 7922 Sequoia Dr, Roanoke, VA 24019-1847 | 2020-02-14 |
| 1225464712 | Paula V Honer | Lactation Consultant, Non-RN | 3142 Brambleton Ave, Roanoke, VA 24018-3727 | 2013-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083214357 | Laci Ann Tang | Lactation Consultant, Non-RN | 5221 Concordia St, Fairfax, VA 22032-3409 | 2020-10-27 |
| 1528682895 | Kristi Ramey | Lactation Consultant, Non-RN | 1900 Skipwith Rd, Henrico, VA 23229-4202 | 2020-06-02 |
| 1366070344 | Racheal Marie Boyea-o'brien | Lactation Consultant, Non-RN | 840 Juniper Cres Ste 102, Chesapeake, VA 23320-2628 | 2020-03-27 |
| 1528698503 | Alexis Lane Matthews Lehmann | Lactation Consultant, Non-RN | 27 Abbey Ct, Fishersville, VA 22939-2156 | 2020-01-18 |
| 1558928432 | Nichelle Brittany Clark | Lactation Consultant, Non-RN | 1029 Hill St, Chesapeake, VA 23324-1124 | 2019-05-25 |
| 1588227458 | Tamika Harris | Lactation Consultant, Non-RN | 8206 Mcclelland Pl, Alexandria, VA 22309-1833 | 2019-04-17 |
| 1730648486 | Danielle Mcmillan | Lactation Consultant, Non-RN | 210 North St Ne, Coeburn, VA 24230-4002 | 2019-03-12 |
| 1851865307 | Shannon Heindel | Lactation Consultant, Non-RN | 43400 Postrail Sq, Ashburn, VA 20147-4600 | 2019-01-17 |
| 1689147431 | Joanna Christine Becker | Lactation Consultant, Non-RN | 24636 Woolly Mammoth Ter Unit 303, Aldie, VA 20105-3205 | 2019-01-04 |
| 1831670207 | Lisa Geis | Lactation Consultant, Non-RN | 5233 Dunleigh Dr, Burke, VA 22015-1619 | 2018-08-23 |
| Find all providers with the same taxonomy | ||||
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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.