MICHELE B GAGNON (NPI# 1992241020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992241020 |
| Entity Type | Individual |
| Full Name | MICHELE B GAGNON |
| Credential | CNP |
| Practice Address |
105 Mechanic St Camden ME 04843-1811 |
| Mailing Address |
Po Box 28 Madawaska ME 04756-0028 |
| Practice Telephone | 2072364197 |
| Mailing Telephone | 2073163313 |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2017-01-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
CNP161224 | ME | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
105 MECHANIC ST |
| City | CAMDEN |
| State | ME |
| Zip Code | 04843-1811 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346302635 | Camden Operations, LLC | Skilled Nursing Facility | 105 Mechanic St, Camden, ME 04843-1811 | 2006-12-14 |
| 1346736766 | Victoria Lynn Wolfe | Speech-Language Pathologist | 105 Mechanic St, Camden, ME 04843-1811 | 2018-07-09 |
| 1952826869 | Thomas Ordelt | Physical Therapy Assistant | 105 Mechanic St, Camden, ME 04843-1811 | 2017-08-11 |
| 1982132098 | Marshall Perfetto | Occupational Therapy Assistant | 105 Mechanic St, Camden, ME 04843-1811 | 2017-06-02 |
| 1114473162 | Cody James Small | Physical Therapist | 105 Mechanic St, Camden, ME 04843-1811 | 2016-08-30 |
| 1932588126 | Marie Jocelyn Catolos Agbuya | Physical Therapist | 105 Mechanic St, Camden, ME 04843-1811 | 2015-05-21 |
| 1295138113 | Mark Pollock | Physical Therapy Assistant | 105 Mechanic St, Camden, ME 04843-1811 | 2014-10-06 |
| 1124420864 | Rachel Spencer | Speech-Language Pathologist | 105 Mechanic St, Camden, ME 04843-1811 | 2014-09-25 |
| 1093116006 | Mari Carter | Skilled Nursing Facility | 105 Mechanic St, Camden, ME 04843-1811 | 2014-09-09 |
| 1558797456 | Meryia Leigh Michaud | Physical Therapy Assistant | 105 Mechanic St, Camden, ME 04843-1811 | 2013-09-24 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740633148 | Judith Orme | Social Worker | 69 Elm St., #203, Camden, ME 04843 | 2016-07-20 |
| 1497912208 | Amber Elizabeth Blanchard | Occupational Therapy Assistant | 105 Mechanic Street, Camden, ME 04843 | 2008-05-20 |
| 1083810097 | Louise P Bakley | Speech-Language Pathologist | 69 Elm Street, Camden, ME 04843 | 2007-06-26 |
| 1679787527 | School Administrative District No 28 | Local Education Agency (LEA) | 7 Lions Lane, Camden, ME 04843 | 2007-05-10 |
| 1649346925 | Suetta Tenney | Internal Medicine | Genesis Health Care Winward Gardens Nursing Center, 105 Mechanic Street, Camden, ME 04843 | 2006-11-28 |
| 1235221854 | Kathleen A Dishner | Nurse Practitioner | 62 Bayview St Unit 23, Camden, ME 04843 | 2006-09-29 |
| 1417990896 | Carlton Douglas Johnstone | Chiropractor | 49 Elm St, Camden, ME 04843 | 2006-06-14 |
| 1720048044 | Marsha Leslie Domench | Physical Therapist | 22 Park Street, Camden, ME 04843 | 2006-03-23 |
| 1619968682 | Jennifer Marie Batterman | Psychologist | 87 Elm St Ste 203, Camden, ME 04843 | 2005-10-31 |
| 1629594155 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 35 Elm St, Camden, ME 04843 | 2017-08-16 |
| Find all providers in zip 04843 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033691654 | Melinda Branham | Nurse Practitioner | 93 Burbage St, Camden, SC 29020-1596 | 2018-08-30 |
| 1174030001 | Jessica Ann Donaldson | Nurse Practitioner | 9562 State Route #13, Camden, NY 13316-4940 | 2017-12-31 |
| 1205348679 | Michael Joseph Foglio | Nurse Practitioner | 1600 Haddon Ave # Er, Camden, NJ 08103-3101 | 2017-10-25 |
| 1205371770 | Rachel Degtyarev | Nurse Practitioner | 1 Cooper Plz Rm 513, Camden, NJ 08103-1461 | 2016-12-19 |
| 1508309766 | Jessica Millraney | Nurse Practitioner | 30 S Court Sq, Camden, TN 38236 | 2016-11-21 |
| 1619324852 | Heather Larkins | Nurse Practitioner | 284 Highway 641 N, Camden, TN 38320-1350 | 2016-05-18 |
| 1528441706 | Susanne Marie Johnson | Nurse Practitioner | 525 Clinton Street, Camden, NJ 08103 | 2015-07-07 |
| 1588003842 | Andrea Susanne Abbott | Nurse Practitioner | 178 Schools Dr, Camden, TN 38320-3026 | 2013-06-20 |
| 1134467277 | Patricia Golato | Nurse Practitioner | 3 Cooper Plz Rm 116, Camden, NJ 08103 | 2013-01-24 |
| 1134495906 | Jessica Epps Wilkes | Nurse Practitioner | 110 E Dekalb St # C, Camden, SC 29020-4432 | 2012-03-27 |
| Find all providers in CAMDEN | ||||
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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.