MRS. JACQUELINE JOY GAGEN (NPI# 1811964281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811964281 |
| Entity Type | Individual |
| Full Name | MRS. JACQUELINE JOY GAGEN |
| Credential | CNM, NP |
| Practice Address |
82 Copeland Ave Homer NY 13077 |
| Mailing Address |
11 Alvena Ave, Suite 101 Ob/gyn Assoc. of Cortland, Md, PC Cortland NY 13045 |
| Practice Telephone | 6077531025 |
| Practice Fax Number | 6077531285 |
| Mailing Telephone | 3154463904 |
| Mailing Fax Number | 3154452936 |
| Enumeration Date | 2006-03-03 |
| Last Update Date | 2018-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207V00000X | Obstetrics & Gynecology | 6153461 | NY | Allopathic & Osteopathic Physicians |
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
6153461 | NY | Allopathic & Osteopathic Physicians |
| N | 207VX0000X |
Obstetrics & Gynecology Specialization: Obstetrics |
6153461 | NY | Allopathic & Osteopathic Physicians |
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
343016 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LX0001X |
Nurse Practitioner Specialization: Obstetrics & Gynecology |
360384 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| N | 367A00000X | Advanced Practice Midwife | F000501 | NY | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
82 COPELAND AVE |
| City | HOMER |
| State | NY |
| Zip Code | 13077 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952380016 | Danielle Annette Bellumori | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2006-01-16 |
| 1184076507 | Shamanthy Ratnasingam | Internal Medicine | 82 Copeland Ave, Homer, NY 13077-1528 | 2016-07-09 |
| 1609258680 | Gaurav Jaswal | Family Medicine | 82 Copeland Ave, Homer, NY 13077-1528 | 2015-06-25 |
| 1205104262 | Department of Medicine Medical Service Group | Internal Medicine | 82 Copeland Ave, Homer, NY 13077-1528 | 2011-12-06 |
| 1083902027 | Lisa A Olson-gugerty | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2011-07-12 |
| 1861563660 | Andras Szabo | Internal Medicine | 82 Copeland Ave, Homer, NY 13077-1528 | 2006-11-13 |
| 1386652030 | Patricia J Curtin | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2006-08-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760024434 | Mindful Harmony LLC | Massage Therapist | 6 N. Main St, Homer, NY 13077 | 2019-10-14 |
| 1982947990 | Robin L Staring | Licensed Practical Nurse | 43 North Main St, Homer, NY 13077 | 2013-03-28 |
| 1760703227 | Krista C Keeler | Social Worker | 24 Copeland Avenue, Homer, NY 13077 | 2010-06-18 |
| 1740339704 | Ashley C Vormwald | Speech-Language Pathologist | 9 Central Park Place, Homer, NY 13077 | 2007-01-09 |
| 1497846844 | Ehren Paul Heyer | Physical Therapist | 84 Cortland St., Homer, NY 13077 | 2006-09-28 |
| 1255351813 | Sandi H Wallace | Physical Therapist | 59 A James St., Homer, NY 13077 | 2006-07-19 |
| 1700866217 | Robert P Morris | Dermatology | 45 N Fulton St, Homer, NY 13077 | 2006-01-19 |
| 1528342052 | Heidi Jean Effinger | Social Worker | 72 S Main St, Homer, NY 13077 | 2011-10-03 |
| 1407094345 | Elaine Elizabeth Fisher | Speech-Language Pathologist | 65 James St, Homer, NY 13077 | 2009-01-30 |
| 1386706299 | Robert B Slater | Social Worker | 24 Copeland Ave, Homer, NY 13077 | 2006-12-15 |
| Find all providers in zip 13077 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396198388 | Lisa Zatz | Nurse Practitioner | 178 E Bunnell Ave, Homer, AK 99603-7843 | 2016-07-14 |
| 1720101132 | Donna Marie Fenske | Nurse Practitioner | 426 E Bayview Ave, Homer, AK 99603-7117 | 2007-04-09 |
| 1316916596 | Rebecca L Noble | Nurse Practitioner | 880 East End Rd, Seldovia Village Tribe, Homer, AK 99603 | 2006-03-17 |
| 1588632483 | Valerie A Wills | Nurse Practitioner | 1244 Historic Homer Hwy, Homer, GA 30547-2737 | 2006-03-08 |
| 1871599126 | Carol Lynn Klamser | Nurse Practitioner | 4141 Pennock St, Homer, AK 99603-7223 | 2005-06-22 |
| 1144758004 | Anna Jeanne Williams | Nurse Practitioner | 4136 Bartlett St, Homer, AK 99603-7001 | 2017-05-23 |
| 1952784209 | Courtney Brooks | Nurse Practitioner | 912 W Main St, Homer, LA 71040-3328 | 2015-07-06 |
| 1811304074 | Ekara N Wafer-mendenhall | Nurse Practitioner | 620 E College St, Homer, LA 71040-3202 | 2014-07-18 |
| 1194158774 | Christine Sophia Brubaker | Nurse Practitioner | 880 E End Rd, Homer, AK 99603-7201 | 2013-08-19 |
| 1083902027 | Lisa A Olson-gugerty | Nurse Practitioner | 82 Copeland Ave, Homer, NY 13077-1528 | 2011-07-12 |
| Find all providers in HOMER | ||||
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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.