LYNNE L GAGON (NPI# 1154408805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154408805 |
| Entity Type | Individual |
| Full Name | LYNNE L GAGON |
| Credential | APRN-BC |
| Practice Address |
147 E Main St Vernal UT 84078-2643 |
| Mailing Address |
Po Box 516 Jensen UT 84035-0516 |
| Practice Telephone | 4357815746 |
| Mailing Telephone | 4357815476 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
203926-8900 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| N | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
203926-4405 | UT | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
147 E MAIN ST |
| City | VERNAL |
| State | UT |
| Zip Code | 84078-2643 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205479748 | Wade Oliver Moulton | Pharmacist | 1080 W Hwy 40, Vernal, UT 84078 | 2019-10-28 |
| 1841610383 | Allegiance Addiction Recovery Center | Substance Abuse Rehabilitation Facility | 4430 N Little Valley Road, Vernal, UT 84078 | 2014-04-23 |
| 1689008773 | Ashley Valley Physician Practice, LLC | Occupational Therapist | 1680 W Highway 40 Ste 202, Vernal, UT 84078 | 2013-08-26 |
| 1528371796 | Terry L Smith | Counselor | 1140 W 500 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1619280880 | Cicile M Rios | Counselor | 1140 W 800 S #9, Vernal, UT 84078 | 2010-07-16 |
| 1265754840 | Marjorie Elaine Gardner | Licensed Practical Nurse | 133 S 500 East, Vernal, UT 84078 | 2010-02-23 |
| 1528205853 | Robert Kirkham Jolley | Dentist | 40 West 100 North, Vernal, UT 84078 | 2009-01-08 |
| 1740482025 | Ashley Valley Physician Practice, LLC | Family Medicine | 175 N. 100 W., Suite 202, Vernal, UT 84078 | 2007-05-31 |
| 1265646459 | Ashley Valley Medical Center | Pharmacy | 151 W. 200 N., Vernal, UT 84078 | 2007-05-09 |
| 1629122692 | Brian Prentice Callahan | Dentist | 779 West Us Highway 40, Vernal, UT 84078 | 2007-01-23 |
| Find all providers in zip 84078 | ||||
| Taxonomy Code | 364SP0809X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467606228 | Marilyn Louise Little | Clinical Nurse Specialist | 198 W 7200 S, Midvale, UT 84047-3749 | 2008-11-06 |
| 1922202282 | Robin Jacobs | Clinical Nurse Specialist | 1174 E Graystone Way Ste 4, Slc, UT 84106-2671 | 2007-06-12 |
| 1063504025 | Lynda Sue Baum | Clinical Nurse Specialist | 881 W State Rd Ste 140-429, Pleasant Grove, UT 84062-2131 | 2006-09-28 |
| 1053398610 | Connie Hall Strong | Clinical Nurse Specialist | 22 S State St, Clearfield, UT 84015-1043 | 2005-12-26 |
| 1144223678 | Mark Dudley | Clinical Nurse Specialist | 1399 S 700 E Ste 11b, Salt Lake City, UT 84105-2149 | 2005-05-30 |
| 1356695175 | Mardi Bruner Bartholdt | Clinical Nurse Specialist | 1350 E 750 N, Orem, UT 84097-4345 | 2012-10-31 |
| 1144315110 | Joan L Hadley | Clinical Nurse Specialist | 5005 S 900 E, Suite 100, Murray, UT 84117-5788 | 2006-10-04 |
| 1285736926 | Marie Kathleen Acree | Clinical Nurse Specialist | 650 E 4500 S, Suite 300, Salt Lake City, UT 84107-2900 | 2006-09-02 |
| 1154383206 | Carolyn Louise Anich | Clinical Nurse Specialist | 500 Foothill Blvd, Salt Lake City, UT 84148-0001 | 2006-04-04 |
| 1417934324 | Rebecca Lucille | Clinical Nurse Specialist | 5965 S 900 E, Suite 240, Salt Lake City, UT 84121-1720 | 2005-12-30 |
| 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.