MATTHEW GANNON (NPI# 1194133090) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194133090 |
| Entity Type | Individual |
| Full Name | MATTHEW GANNON |
| Practice Address |
72 Blue Ridge Ln Burnsville NC 28714-7270 |
| Mailing Address |
6 S Bear Creek Rd Asheville NC 28806-1502 |
| Practice Telephone | 8286822111 |
| Practice Fax Number | 8286829323 |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCAS-20711 | NC | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285163246 | Matthew Michael Gannon | Internal Medicine | 1415 Woodland Ave Ste 140, Des Moines, IA 50309-3203 | 2017-06-05 |
| 1700942646 | Matthew P Gannon | Anesthesiology | 9263 Medical Plaza Dr, Ste E, Charleston, SC 29406-7112 | 2006-12-28 |
| Street Address |
72 BLUE RIDGE LN |
| City | BURNSVILLE |
| State | NC |
| Zip Code | 28714-7270 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952363079 | Julie Biddix Harrison | Registered Nurse | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2006-04-04 |
| 1710587837 | Larue Rogers Neilson | Counselor | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-10-28 |
| 1205452448 | Kerry Dowd | Social Worker | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2020-06-23 |
| 1720576457 | Jennifer Marlene Richards | Social Worker | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2018-04-27 |
| 1215462882 | Lynn Annette Caraveo | Social Worker | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2017-04-20 |
| 1962934687 | Dana Spangler | Counselor | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2017-03-31 |
| 1699222844 | Brittany Nicole Ray | Counselor | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2016-09-06 |
| 1598113037 | Taylor Francis Van Buskirk | Counselor | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2016-05-25 |
| 1255790937 | Rha Behavioral Health Nc LLC | Community/Behavioral Health | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2016-02-23 |
| 1902286958 | Tabbatha L Garland | Social Worker | 72 Blue Ridge Ln, Burnsville, NC 28714-7270 | 2015-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154895894 | Mh Mission Hospital, Lllp | Ambulance | 225 Wheeler Hill Rd., Burnsville, NC 28714 | 2019-01-16 |
| 1528579430 | Healthstat Onsite Clinic Hsm-micaville | Preventive Medicine | 455 Hickory Springs Road, Burnsville, NC 28714 | 2017-10-18 |
| 1649794470 | Nalda Rives Mills | Counselor | 121b Boone Ridge Dr, Burnsville, NC 28714 | 2017-08-02 |
| 1386029106 | Kyle Duncan | Dentist | 534 East Bypass, Burnsville, NC 28714 | 2015-07-22 |
| 1326474503 | Priscilla Jones Whitson | Physical Therapist | 1720 Us Highways 19e, Burnsville, NC 28714 | 2013-09-19 |
| 1467724179 | Melissa Hill Rosenberger | Pharmacist | 115 Reservoir Road Hwy 19 East Bypass, Burnsville, NC 28714 | 2012-01-27 |
| 1649507971 | Cnc / Access Inc. | In Home Supportive Care | 109 Us Hwy 19 East, Bldg 3 Unit 13, Burnsville, NC 28714 | 2009-11-06 |
| 1841526910 | Beth E Ball | Nurse Practitioner | 800 Medical Campus Drive, Burnsville, NC 28714 | 2009-10-26 |
| 1023255122 | Amy M Earnheart | Counselor | 333 Mountain Heritage High School Road, Bursnville, NC 28714 | 2009-01-11 |
| 1245419480 | Yancey County Committee On Aging, Inc. | Health Maintenance Organization | 10 Swiss Avenue, Burnsville, NC 28714 | 2007-10-24 |
| Find all providers in zip 28714 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598373011 | Margaret King | Counselor | 1605 Southcross Dr W, Burnsville, MN 55306-7013 | 2020-07-21 |
| 1568085900 | Kathryn Harris | Counselor | 11939 W. River Hills Dr., Burnsville, MN 55337 | 2020-05-20 |
| 1982237269 | Building Bridges | Counselor | 1301 Cliff Rd E, Burnsville, MN 55337-1434 | 2020-02-14 |
| 1861030991 | Abria Recovery LLC | Counselor | 13401 County Road 5, Burnsville, MN 55337-2377 | 2019-12-19 |
| 1902297104 | Marsha G Partington | Counselor | 13001 County Road 5, Burnsville, MN 55337-2226 | 2015-02-09 |
| 1215040605 | Cdc Centers | Counselor | 1510 E 122nd St, Burnsville, MN 55337-6804 | 2006-08-17 |
| 1447895065 | Brandyce R Edson | Counselor | 675 E Nicollet Blvd Ste 250, Burnsville, MN 55337-6768 | 2019-11-07 |
| 1457867129 | Kerry Ann Crain | Counselor | 11939 River Hills Dr, Burnsville, MN 55337-1354 | 2017-12-18 |
| 1780199695 | Daniel Robert Sparks | Counselor | 11939 River Hills Dr, Burnsville, MN 55337-1354 | 2017-12-14 |
| 1316452220 | Ebony Nelson | Counselor | 11939 River Hills Dr, Burnsville, MN 55337-1354 | 2017-12-14 |
| Find all providers in BURNSVILLE | ||||
| City | BURNSVILLE |
| Zip Code | 28714 |
Please comment or provide details below to improve the information on MATTHEW GANNON.
| 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.