KELLY ANNE FAGAN (NPI# 1508928920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508928920 |
| Entity Type | Individual |
| Full Name | KELLY ANNE FAGAN |
| Credential | NPP |
| Practice Address |
90 Asheland Ave Asheville NC 28801-4021 |
| Mailing Address |
200 Olde Eastwood Village Blvd Apartment 213 Asheville NC 28803-1680 |
| Practice Telephone | 8282542700 |
| Mailing Telephone | 5852595272 |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2014-11-14 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
F381648-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
229768 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
F400995-1 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 03240911 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659516623 | Kelly Ann Fagan | Speech-Language Pathologist | 2352 County Route 41, Greenville, NY 12083-4626 | 2008-12-04 |
| 1285192393 | Kelly Fagan | Physician Assistant | 506 6th St, Brooklyn, NY 11215-3609 | 2019-03-07 |
| Street Address |
90 ASHELAND AVE |
| City | ASHEVILLE |
| State | NC |
| Zip Code | 28801-4021 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609856707 | Leta C Lamb | Radiology | 90 Asheland Ave, Asheville, NC 28801-4021 | 2006-01-17 |
| 1134596794 | Crest View Recovery Center | Substance Abuse Rehabilitation Facility | 90 Asheland Ave, D, Asheville, NC 28801-4021 | 2015-08-29 |
| 1346647039 | Valerie Martin Hoots | Counselor | 90 Asheland Ave, Asheville, NC 28801-4021 | 2014-11-25 |
| 1245633312 | Lilian Childress | Counselor | 90 Asheland Ave, Asheville, NC 28801-4021 | 2014-10-03 |
| 1538589387 | Aimee Fambrough | Social Worker | 90 Asheland Ave, Asheville, NC 28801-4021 | 2014-04-21 |
| 1790103703 | Zachary Tompkins | Counselor | 90 Asheland Ave, Asheville, NC 28801-4021 | 2014-04-07 |
| 1104244227 | Victoria Mattei | Counselor | 90 Asheland Ave, Asheville, NC 28801-4021 | 2014-04-05 |
| 1710301742 | Lisa Mazzonetto | Counselor | 90 Asheland Ave, Asheville, NC 28801-4021 | 2014-02-11 |
| 1720417645 | Jillian Ladonica Sessoms | Counselor | 90 Asheland Ave, Asheville, NC 28801 | 2013-11-01 |
| 1144657909 | Paul Freedman | Social Worker | 90 Asheland Ave, Asheville, NC 28801-4021 | 2013-10-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174153274 | Taylor Jules Maclean | Chiropractor | 257 Broadway St, Suite 309, Asheville, NC 28801 | 2020-01-17 |
| 1023598562 | Tara Tecce | Counselor | Rha Behavioral Health Services, 356 Biltmore Ave, Asheville, NC 28801 | 2018-08-15 |
| 1972082444 | Asheville Counseling and Psychotherapy Center PC | Social Worker | 390 Merrimon Avenue, Asheville, NC 28801 | 2018-08-07 |
| 1710475736 | J. Eric Dollinger D.d.s., P.a | Dentist | 192 E. Chestnut St., Suite A, Asheville, NC 28801 | 2018-04-25 |
| 1295240919 | Vered Counseling Co | Community/Behavioral Health | 29 Ravenscroft Dr Ste 208, Asheville, NC 28801 | 2017-12-04 |
| 1790203206 | Alison Rhodes | Counselor | 55 Washington Road, Asheville, NC 28801 | 2017-09-05 |
| 1235657859 | Katherine Wingfield Ford | Counselor | 29 Ravenscroft Drive Suite 305, Asheville, NC 28801 | 2017-09-04 |
| 1205384708 | Martine Luntz Jones | Psychologist | 56 Clayton St, Asheville, NC 28801 | 2016-09-14 |
| 1851753842 | Rebekkah Anne Merrell | Dentist | 167 E. Chestnut St, Asheville, NC 28801 | 2016-03-28 |
| 1093105074 | Trails Academy LLC | Residential Treatment Facility, Emotionally Disturbed Children | 90 Church Street, Asheville, NC 28801 | 2015-01-29 |
| Find all providers in zip 28801 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psych/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023671096 | Daya Mental Health and Wellness Pllc | Nurse Practitioner | 959 Merrimon Ave Ste 3b, Asheville, NC 28804-2415 | 2019-04-16 |
| 1902372097 | Tabatha Michelle Jones | Nurse Practitioner | 20 Battery Park Ave Ste 504, Asheville, NC 28801-2878 | 2018-10-16 |
| 1134668098 | Ellen Minier | Nurse Practitioner | 23 Westmont Drive, Asheville, NC 28806 | 2017-02-13 |
| 1043769946 | Christina Ann Thomas | Nurse Practitioner | 8 Azalea Ter, Asheville, NC 28803-9414 | 2016-10-03 |
| 1326331158 | Kristin Hanvey | Nurse Practitioner | 36 Yale, Asheville, NC 28806-3325 | 2011-05-26 |
| 1215097415 | Loretta O'hanlon | Nurse Practitioner | 16 Arlington St, Asheville, NC 28801-2006 | 2006-12-11 |
| 1467480079 | Nancy Jean Bass | Nurse Practitioner | One Oak Plaza, Suite 206, Skyland Behavioral Health Associates, Asheville, NC 28801 | 2006-06-30 |
| 1184253593 | Erika Mcclung | Nurse Practitioner | 1293 Hendersonville Rd, Asheville, NC 28803-1952 | 2020-04-07 |
| 1952860355 | Deborah Ashten Mock | Nurse Practitioner | 2360 Sweeten Creek Rd, Asheville, NC 28803-2030 | 2019-03-15 |
| 1518457654 | Maria Macdougall | Nurse Practitioner | 1200 Ridgefield Blvd Ste 250, Asheville, NC 28806-2287 | 2018-05-15 |
| Find all providers in ASHEVILLE | ||||
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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.