KELLI P GAGNE (NPI# 1861775264) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1861775264 |
Entity Type | Individual |
Full Name | KELLI P GAGNE |
Credential | APRN |
Practice Address |
331 E Main St Ste 200 Rock Hill SC 29730-5384 |
Practice Telephone | 7044380687 |
Practice Fax Number | 8443087996 |
Mailing Telephone | 7044380687 |
Mailing Fax Number | 8443087996 |
Enumeration Date | 2011-09-21 |
Last Update Date | 2016-04-19 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
20033 | SC | Physician Assistants & Advanced Practice Nursing Providers |
Y | 363LP0808X |
Nurse Practitioner Specialization: Psych/Mental Health |
4815 | CT | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
331 E MAIN ST STE 200 |
City | ROCK HILL |
State | SC |
Zip Code | 29730-5384 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1790838621 | Kelly G Svedberg | Physician Assistant | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2007-01-22 |
1043810450 | Donnette Dawn Thomas | Counselor | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-10-27 |
1396345880 | Mindful Management LLC | Counselor | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-10-26 |
1679188528 | Mindful Missions of Sc Non-profit | Home Health | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-09-08 |
1043823362 | Attune Healthcare Consulting Firm, LLC | Home Health | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-08-26 |
1629688171 | Metta Vita Health LLC | Pediatrics | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-08-08 |
1881204964 | Panoptic Health LLC | In Home Supportive Care | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-08-04 |
1730708868 | Mind Wellness Center | Physician Assistant | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-04-09 |
1972139335 | Inspire Health and Confort Services, LLC | Case Management | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-03-18 |
1548893134 | Excel Home Care LLC | In Home Supportive Care | 331 E Main St Ste 200, Rock Hill, SC 29730-5384 | 2020-02-21 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1972132116 | Jennifer D Dawkins | Health Educator | 151 S. Oakland Ave., Rock Hill, SC 29730 | 2020-04-08 |
1598312969 | Erinnae Cline | Counselor | 864 Springdale Road, Rock Hill, SC 29730 | 2019-08-21 |
1982175139 | A&s Humans Services LLC | Meals | 1111 Southland Dr, Rock Hill, NC 29730 | 2018-12-16 |
1437642824 | Embrace Clinical Services LLC | Social Worker | 331 East Main Streest, Rock Hill, SC 29730 | 2018-06-11 |
1558852384 | Affinity Health Center - Dental | Dentist | 500 Lakeshore Parkway, Rock Hill, SC 29730 | 2018-05-29 |
1942729603 | Carolina Therapy Solutions for Kids, LLC | Occupational Therapy Assistant | 458 Anvil Draw Pl, Rock Hill, SC 29730 | 2017-09-13 |
1245750041 | Revelation Home Health Care | In Home Supportive Care | 331 E. Main Street, Rock Hill, SC 29730 | 2017-06-22 |
1538696703 | Ivan Alexander Carrion | Dentist | 2427 Cross Pointe Dr Ste 101, Rock Hill, SC 29730 | 2017-05-17 |
1154861045 | Community Medicine Foundation, Inc | Clinic/Center | 1140 Saluda Street, Women's Health and Pediatric /adolescent Center, Rock Hill, SC 29730 | 2017-02-27 |
1912447996 | Carolinas Medical Center At Home, LLC | Home Health | 226 Northpark Drive, Suite 120, Rock Hill, SC 29730 | 2017-02-24 |
Find all providers in zip 29730 |
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 |
---|---|---|---|---|
1417430984 | Michele Reina | Nurse Practitioner | 200 S Herlong Ave Ste C, Rock Hill, SC 29732-1182 | 2018-09-11 |
1700239522 | Carrie Ann Hill | Nurse Practitioner | 2400 W Main St, Rock Hill, SC 29732-8968 | 2016-07-16 |
1720447659 | Gagne Behavioral Health Care Pa | Nurse Practitioner | 331 E Main St Ste 200, Rock Hill, SC 29730-5371 | 2016-02-20 |
1255409132 | Pamela J Ridley | Nurse Practitioner | 2400 W Main St, Rock Hill, SC 29732-8968 | 2006-12-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831708296 | The Integrated Wellness Center, LLC | Nurse Practitioner | 738 W Liberty St Ste B, Sumter, SC 29150-4745 | 2020-07-30 |
1033737903 | Danielle Ledwell | Nurse Practitioner | 109 Bee St Fl 5, Charleston, SC 29401-5703 | 2020-07-08 |
1821612615 | Hannah Olivia Robidoux | Nurse Practitioner | 109 Montelena Dr, Lexington, SC 29072-6911 | 2020-06-08 |
1376172502 | Luron M Fleming | Nurse Practitioner | 712 Arlington Ave, Greenville, SC 29601-3206 | 2020-04-08 |
1760017651 | Kandice Rivers | Nurse Practitioner | 8504 Chloe Ln, North Charleston, SC 29406-8100 | 2020-03-11 |
1194350447 | Angela M. Strange | Nurse Practitioner | 109 Brookhaven Dr, Moore, SC 29369-9750 | 2020-03-06 |
1144851742 | Patricia Deane | Nurse Practitioner | 430 Cox Rd, Greer, SC 29651-7260 | 2020-02-01 |
1497386155 | Michelle Yvette Pinckney | Nurse Practitioner | 1094 Williams Rd, Charleston, SC 29412-5322 | 2020-01-31 |
1619515632 | Leah R Hunter | Nurse Practitioner | 53 Antique Rose Ct, Irmo, SC 29063-7501 | 2019-12-20 |
1275175093 | Carrie Laxton Ballenger | Nurse Practitioner | 2094 Woodruff Road, Greenville, SC 29607 | 2019-10-14 |
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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.