AMY FAGAN (NPI# 1326494782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326494782 |
| Entity Type | Individual |
| Full Name | AMY FAGAN |
| Credential | CNP |
| Practice Address |
152 Conant St Ste 3 Beverly MA 01915-1659 |
| Practice Telephone | 9782361300 |
| Mailing Telephone | 9782361300 |
| Enumeration Date | 2016-05-04 |
| Last Update Date | 2016-05-04 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
RN234050 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730131517 | Amy Elizabeth Fagan | Physical Therapist | 4818 Market Square Ln, Midlothian, VA 23112-4826 | 2006-05-17 |
| 1265617955 | Amy Beth Fagan | Pharmacist | 4673 9th St N, Naples, FL 34103-3004 | 2008-01-01 |
| Street Address |
152 CONANT ST STE 3 |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915-1659 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740816057 | Cherie Lynn Tavares | Registered Nurse | 152 Conant St Ste 3, Beverly, MA 01915-1659 | 2020-03-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1346437662 | Betty J Schenkel | Nurse Practitioner | 14588 Dungannon Rd, Beverly, OH 45715-9615 | 2007-10-01 |
| 1194800417 | Karen Jacobs | Nurse Practitioner | 100 Cumming Center Dr., Suite 106p, Beverly, MA 01915-5900 | 2006-10-26 |
| 1366498149 | Sarah Brown | Nurse Practitioner | 19 Dodge St, Beverly, MA 01915-1705 | 2006-05-25 |
| 1063484194 | Luanne Marie Off | Nurse Practitioner | 19 Dodge Street, Minuteclinic, Beverly, MA 01915 | 2006-02-02 |
| 1184225401 | Margaret J Layo | Nurse Practitioner | 376 Hale St, Beverly, MA 01915-2096 | 2020-11-03 |
| 1497287064 | Melanie Roy | Nurse Practitioner | 85 Herrick St, Beverly, MA 01915-1790 | 2017-04-01 |
| 1033566773 | Dallas M Walsh | Nurse Practitioner | 100 Cummings Ctr, Suite 126q, Beverly, MA 01915-6115 | 2016-05-23 |
| 1083030860 | Aaron N. Frye | Nurse Practitioner | 53 Queendale Ctr, Beverly, KY 40913-9608 | 2014-03-17 |
| 1972935492 | Amy Mcelwain | Nurse Practitioner | 900 Cummings Ctr, Suite 107t, Beverly, MA 01915-6198 | 2013-08-07 |
| Find all providers in BEVERLY | ||||
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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.