NPI Code Detail JSON Logo

1457483158 NPI number — JESSICA ROONEY GALLAGHER ATC

NPI Number: 1457483158
Health Care Provider/Practitioner: JESSICA ROONEY GALLAGHER ATC

Information about “1457483158” NPI (JESSICA ROONEY GALLAGHER ATC) exists in 1457483158 in HTML format HTML  |  1457483158 in plain Text format TXT  |  1457483158 in PDF (Portable Document Format) PDF  |  1457483158 in an XML format XML  formats.

NPI Number : 1457483158 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1457483158",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GALLAGHER",
    "FirstName": "JESSICA",
    "MiddleName": "ROONEY",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "ATC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "7 BENNETT WAY",
    "SecondLineMailingAddress": "APT 32",
    "MailingAddressCityName": "NEWMARKET",
    "MailingAddressStateName": "NH",
    "MailingAddressPostalCode": "03857-2307",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "603-659-3580",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "77 MASSACHUSETTS AVE",
    "SecondLinePracticeLocationAddress": "KASSER SPORTS MEDICINE CENTER",
    "PracticeLocationAddressCityName": "CAMBRIDGE",
    "PracticeLocationAddressStateName": "MA",
    "PracticeLocationAddressPostalCode": "02139-4301",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "617-216-6519",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "03/09/2007",
    "LastUpdateDate": "07/08/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "254",
          "LicenseNumberStateCode": "NH",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "2255A2300X",
          "TaxonomyName": "Athletic Trainer",
          "LicenseNumber": "1399",
          "LicenseNumberStateCode": "MA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2026 Data Labs Health. All rights reserved.