KELLI P GAGNE


Address: 331 E Main St Ste 200, Rock Hill, SC 29730-5384
Phone: 7044380687

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).

Provider Overview

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

Taxonomy

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

Office Location

Street Address 331 E MAIN ST STE 200
City ROCK HILL
State SC
Zip Code 29730-5384

Providers in the same location

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
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Providers in the same zip code

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
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Taxonomy Information

Taxonomy Code 363LP0808X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Psych/Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Providers in the same taxonomy and state

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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Competitor

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City ROCK HILL
Zip Code 29730

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Dataset Information

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.

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