GARY PAUL GAGNE (NPI# 1073652426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073652426 |
| Entity Type | Individual |
| Full Name | GARY PAUL GAGNE |
| Credential | LPN |
| Practice Address |
1305 S Cannon Blvd Kannapolis NC 28083-6232 |
| Mailing Address |
8713 Londonshire Dr Charlotte NC 28216-1660 |
| Practice Telephone | 7049391100 |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 062900 | NC | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | LPN | 062900 | 01 |
| Street Address |
1305 S CANNON BLVD |
| City | KANNAPOLIS |
| State | NC |
| Zip Code | 28083-6232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982648408 | Thomas R. Chicora | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2006-06-15 |
| 1649442930 | Andrea Ellen Corson | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2008-03-27 |
| 1548439235 | David Reynard Gaines | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2008-02-27 |
| 1891964581 | William Pinkney Hamlin Jr. | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2008-02-27 |
| 1063690956 | Kathleen E O'neil | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2008-02-04 |
| 1417132630 | Margaret Sexton Mcclamrock | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2008-01-07 |
| 1447435193 | Daymark Recovery Services Inc | Community/Behavioral Health | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-12-31 |
| 1457536104 | Daymark Recovery Services Inc | Community/Behavioral Health | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-12-31 |
| 1649452996 | Patricia Ann Blakely | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-11-28 |
| 1518147164 | Rhonda Michelle Byers | Counselor | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-11-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366056244 | 5 Stone Therapy, LLC | Occupational Therapy Assistant | 2036 Quill Court, Kannapolis, NC 28083 | 2020-09-08 |
| 1679106900 | Total Renal Care of North Carolina, LLC | Clinic/Center | 614 S Cannon Blvd, Kannapolis, NC 28083 | 2020-02-14 |
| 1700428448 | Monarch | Community/Behavioral Health | 1276 Midlake Road, Kannapolis, NC 28083 | 2019-10-15 |
| 1275812612 | Rha Health Services Nc, LLC | Community/Behavioral Health | 1005 Oklahoma St, Kannapolis, NC 28083 | 2011-08-16 |
| 1265728687 | Delilah Jerelyn Jackson | Pharmacist | 559 Jackson Park Road, Kannapolis, NC 28083 | 2011-06-23 |
| 1770807562 | John Walsh Dds Pa | Dentist | 2222 Lake Concord Rd, Kannapolis, NC 28083 | 2010-03-23 |
| 1942534482 | Christina M Metts-wakeland | Massage Therapist | 2601 Cannon Blvd, Kannapolis, NC 28083 | 2009-10-01 |
| 1912164310 | Christian Women of Elegance Dba | Community/Behavioral Health | 397 Cannon South Boulevard, Kannapolis, NC 28083 | 2008-05-22 |
| 1265646582 | Rachal Alice David | Family Medicine | 241 Southaven Court, Kannapolis, NC 28083 | 2007-05-09 |
| 1154473601 | Bobby Edward Gibbs | Dentist | 281 S. Cannon Blvd, Kannapolis, NC 28083 | 2007-01-17 |
| Find all providers in zip 28083 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841710977 | Kina Dotson | Licensed Practical Nurse | 2622 Dale Earnhardt Blvd, Kannapolis, NC 28083-1401 | 2017-06-20 |
| 1760919914 | Tamara Leonard Beck | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2017-05-18 |
| 1194271809 | Ann Beaver Ware | Licensed Practical Nurse | 1706 S Cannon Blvd, Kannapolis, NC 28083-6104 | 2016-09-01 |
| 1316493539 | Brandi Frazier | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2016-08-28 |
| 1699102921 | Dion Harris | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-10-01 |
| 1023356011 | Debra Butler | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2013-01-25 |
| 1841593597 | Shantela M. Carter | Licensed Practical Nurse | 1309 S. Cannon Blvd, Kannapolis, NC 28083-6232 | 2010-12-17 |
| 1255529855 | Linda Ward Kellogg | Licensed Practical Nurse | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-10-09 |
| 1295950236 | Pamela Sue Corson | Licensed Practical Nurse | 1309 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-04-16 |
| 1760521918 | Darlene Kay Gilmore | Licensed Practical Nurse | 1305 S Cannon Blvd, Kannapolis, NC 28083-6232 | 2007-02-05 |
| Find all providers in KANNAPOLIS | ||||
| City | KANNAPOLIS |
| Zip Code | 28083 |
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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.