KIMBERLY ANN BAGLEY (NPI# 1194106989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194106989 |
| Entity Type | Individual |
| Full Name | KIMBERLY ANN BAGLEY |
| Credential | AGPCNP-BC |
| Practice Address |
3400 Wake Forest Rd Raleigh NC 27609-7317 |
| Mailing Address |
1519 Woodcroft Dr Raleigh NC 27609-3569 |
| Practice Telephone | 9199543000 |
| Mailing Telephone | 9196076305 |
| Enumeration Date | 2015-06-17 |
| Last Update Date | 2015-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
228992 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609250489 | Kimberly Bagley | Speech-Language Pathologist | 365 Lyle Pkwy, Bartow, FL 33830-9247 | 2015-07-12 |
| Street Address |
3400 WAKE FOREST RD |
| City | RALEIGH |
| State | NC |
| Zip Code | 27609-7317 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013916352 | Duke University Health System Inc | General Acute Care Hospital | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2005-07-19 |
| 1023632742 | Rebecca D Griffin | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-05-29 |
| 1013536366 | Melaine Roushini Rajanayagam | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-15 |
| 1902435969 | Corey Michael Grindo | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-04-02 |
| 1659906303 | Nicholas P Glover | Nurse Anesthetist, Certified Registered | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2020-03-03 |
| 1982247292 | Coral Elyse Stevens Hodges | Neurological Surgery | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-21 |
| 1205477676 | Joana Lule | Hospitalist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-10-07 |
| 1780235119 | Melissa V Moreda | Clinical Nurse Specialist | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-09-26 |
| 1871159202 | Lindsey Theresa Hanley | Nurse Practitioner | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-05-10 |
| 1538629829 | Megan Childs | Student in an Organized Health Care Education/Training Program | 3400 Wake Forest Rd, Raleigh, NC 27609-7317 | 2019-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184235582 | Choice Service Solutions LLC | In Home Supportive Care | 5300 Six Fox Rd Siite205, Raleigh, NC 27609 | 2020-08-11 |
| 1003426073 | Rosana Oba -rovira | Registered Nurse | 5300 Six Fox Road, Suite 205, Raleigh, NC 27609 | 2020-08-05 |
| 1821612706 | Helen Alexandra Bonner | Physical Medicine & Rehabilitation | Hey Clinic Pa, 3320 Wake Forest Road Ste 450, Raleigh, NC 27609 | 2020-06-05 |
| 1215423579 | Appiah Nana Larbi | Social Worker | Easter Seals Ucp 4000 Wake Forest Rd Ste 200, Raleigh, NC 27609 | 2018-07-10 |
| 1215423777 | Broadway Home Care LLC | In Home Supportive Care | 107 Windel Dr Ste 105, Raleigh, NC 27609 | 2018-07-09 |
| 1275027948 | Lacey Allene Cottingham | Social Worker | 312 W Millbrook Rd Ste 129, Raleigh, NC 27609 | 2018-06-18 |
| 1447748819 | Integrated Dermatology of North Raleigh, Pllc | Dermatology | 3809 Computer Dr Ste 200, Raleigh, NC 27609 | 2018-05-01 |
| 1902325418 | Naomi Christine Askew | Nurse Practitioner | 3400 Wake Forest Drive, Bldg 9, Bldg #9, 4th Floor, Raleigh, NC 27609 | 2017-09-15 |
| 1962929679 | Alexia Montague | Social Worker | 1306 Paddock Drive Suite E-100, Raleigh, NC 27609 | 2017-08-23 |
| 1730602236 | Chantel Washington-mbuthia | Counselor | 1100 Logger Ct. Ste C100, Heartfelt Alternative Inc, Raleigh, NC 27609 | 2017-07-18 |
| Find all providers in zip 27609 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154979730 | Noemi Garza | Nurse Practitioner | 5720 Creedmoor Rd Ste 200, Raleigh, NC 27612-2382 | 2019-08-28 |
| 1497219174 | Quality Healthcare Solutions | Nurse Practitioner | 4701 Forest Highland Dr, Raleigh, NC 27604-8430 | 2019-01-26 |
| 1831644533 | Alisa Smajlagic Howe | Nurse Practitioner | 4210 Lake Boone Trail, Rex Rehab & Nursing Center, Raleigh, NC 27607 | 2016-08-23 |
| 1487995635 | Benjamin Harrison | Nurse Practitioner | 10940 Hamilton Club Dr Apt 302, Raleigh, NC 27617-7798 | 2013-03-13 |
| 1407159767 | Angela Michelle Marchmon | Nurse Practitioner | 6713 Jean Dr, Raleigh, NC 27612-6810 | 2010-12-08 |
| 1164414538 | Reagan L Bell | Nurse Practitioner | 2800 Kidd Rd, Raleigh, NC 27610-1842 | 2005-08-22 |
| 1972054211 | Claire Gere Reynolds | Nurse Practitioner | 3404 Wake Forest Rd, 202, Raleigh, NC 27609-7340 | 2016-10-21 |
| 1194105932 | William Henry Wendt Iv | Nurse Practitioner | 4420 Lake Boone Trl, Raleigh, NC 27607-7505 | 2015-06-07 |
| 1265854491 | Matthew Feinberg | Nurse Practitioner | 1500 Sunday Dr Ste 200, Raleigh, NC 27607-5151 | 2014-01-07 |
| 1710228978 | Elyse Goldberg | Nurse Practitioner | 3024 New Bern Ave, Suite 301, Raleigh, NC 27610-1247 | 2013-03-12 |
| Find all providers in RALEIGH | ||||
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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.