MS. KAREN BOULLIANNE BAGLEY (NPI# 1801960588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801960588 |
| Entity Type | Individual |
| Full Name | MS. KAREN BOULLIANNE BAGLEY |
| Credential | FNP |
| Practice Address |
416 J Clyde Morris Blvd Newport News VA 23601-1927 |
| Mailing Address |
13 W Wainwright Dr Poquoson VA 23662-1546 |
| Practice Telephone | 7575947400 |
| Mailing Telephone | 7578684366 |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
0024039042 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770029944 | Karen Deabbe Bagley | Psychologist | 8644 Sudley Rd Ste 315, Manassas, VA 20110-4425 | 2017-01-12 |
| 1194133777 | Karen Bagley | Social Worker | 650 E Indian School Rd, Phoenix, AZ 85012-1839 | 2014-07-28 |
| Street Address |
416 J CLYDE MORRIS BLVD |
| City | NEWPORT NEWS |
| State | VA |
| Zip Code | 23601-1927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083611107 | Commonwealth of Virginia/state Board of Health | Clinic/Center | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2005-07-05 |
| 1609274836 | City of Newport News | Public Health or Welfare | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2014-12-22 |
| 1073752051 | Rachel M Romaine | Preventive Medicine | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2009-02-13 |
| 1538318175 | Commonwealth of Virginia/state Department of Health | Public Health or Welfare | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2008-09-18 |
| 1609023308 | Natasha Dwamena | Obstetrics & Gynecology | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2008-08-25 |
| 1063590073 | Peninsula Health Center Pharmacy | Pharmacy | 416 J Clyde Morris Blvd, Newport News, VA 23601 | 2006-11-01 |
| 1982792347 | David Haskell Trump | Preventive Medicine | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-10-11 |
| 1831284157 | Maria Luz Mercado | Pediatrics | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-10-03 |
| 1336247154 | Folake Adebola Akinbi | Dentist | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-09-20 |
| 1386750800 | Arthur H Diamond | Dentist | 416 J Clyde Morris Blvd, Newport News, VA 23601-1927 | 2006-08-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740809235 | Joshua Alan Albert | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Center 10510 Jefferson Ave, Suite A, Newport News, VA 23601 | 2020-04-14 |
| 1053959957 | Sisters In Homecare LLC | Home Health | 716 J Clyde Morris Blvd, Newport News, VA 23601 | 2019-12-11 |
| 1811450638 | Kevin Lavender | Student in an Organized Health Care Education/Training Program | Riverside Brentwood Medical Center, 10510 Jefferson Avenue Suite A, Newport News, VA 23601 | 2019-04-09 |
| 1578025532 | Cortlandt Mercy Sellers | Student in an Organized Health Care Education/Training Program | Riverside Regional Medical Center, 500 J Clyde Morris Blvd, 2 Annex, Newport News, VA 23601 | 2019-04-01 |
| 1407352974 | Stephen Leinfelder | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Dept. of Medical Education, Second Floor Annex, Newport News, VA 23601 | 2018-04-03 |
| 1104359132 | Nicholas Alexander Austin | Student in an Organized Health Care Education/Training Program | 500 J. Clyde Morris Blvd., Second Floor Annex, Riverside Transitional Internship Program, Newport News, VA 23601 | 2017-04-06 |
| 1609312883 | Bright Nii Lante Lamptey | Pharmacist | 600 J Clyde and Morris Blvd, Newport News, VA 23601 | 2017-01-12 |
| 1417490517 | Justin Chamblee | Pharmacist | 671 J. Clyde Morris Blvd, Newport News, VA 23601 | 2016-11-22 |
| 1447706080 | Megan Elizabeth Cobb | Physician Assistant | 500 J Clyde Morrisl Blvd, Suite 603, Newport News, VA 23601 | 2016-09-01 |
| 1669815957 | Christina Michelle Wray Mcmillan | Nurse Practitioner | 416 J. Clyde Morris Blvd., Newport News, VA 23601 | 2013-04-17 |
| Find all providers in zip 23601 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316565179 | Rosemarie Eason Mcfather | Nurse Practitioner | 223 Hawser Bnd, Newport News, VA 23606-1551 | 2020-07-08 |
| 1629600127 | Deja Keeara Hunt | Nurse Practitioner | 704 Thimble Shoals Blvd Ste 700, Newport News, VA 23606-4544 | 2020-02-12 |
| 1629555727 | Leslie D Koberstein | Nurse Practitioner | 11835 Fishing Point Dr Ste 104, Newport News, VA 23606-2584 | 2018-07-23 |
| 1770088924 | Eehim Inc | Nurse Practitioner | 714 J Clyde Morris Blvd Ste 160, Newport News, VA 23601-1500 | 2018-03-29 |
| 1336664689 | Kelly Gates Armbruster | Nurse Practitioner | 1004 Old Denbigh Blvd, Newport News, VA 23602-2017 | 2017-08-08 |
| 1295264364 | Taemin Kim | Nurse Practitioner | 934 Nicklaus Dr, Newport News, VA 23602-8895 | 2017-06-12 |
| 1548714272 | Sharon Parker Sample | Nurse Practitioner | 822 Mccrae Dr, Newport News, VA 23608-9360 | 2016-08-11 |
| 1861856577 | Latoya Shant'e Kearney | Nurse Practitioner | 1405 Kiln Creek Pkwy Ste K, Newport News, VA 23602-9700 | 2016-04-08 |
| 1134512759 | Mesheal Gurst | Nurse Practitioner | 826 Chapin Wood Dr, Newport News, VA 23608-4006 | 2015-03-06 |
| 1962814376 | Stephanie Heaton King | Nurse Practitioner | 13000 Warwick Blvd # 8497, Newport News, VA 23602 | 2014-05-20 |
| Find all providers in NEWPORT NEWS | ||||
| City | NEWPORT NEWS |
| Zip Code | 23601 |
Please comment or provide details below to improve the information on MS. KAREN BOULLIANNE BAGLEY.
| 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.