ALICE LORRAINE FAGAN (NPI# 1255947974) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255947974 |
| Entity Type | Individual |
| Full Name | ALICE LORRAINE FAGAN |
| Practice Address |
2130 Highland View Ln Charlotte NC 28214-9425 |
| Practice Telephone | 2522894832 |
| Mailing Telephone | 2522894832 |
| Enumeration Date | 2020-09-17 |
| Last Update Date | 2020-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
AG03200068 | NC | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
2130 HIGHLAND VIEW LN |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28214-9425 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104456011 | Regina Williams | Custodial Care Facility | 511 Tansy Drive, Charlotte, NC 28214 | 2020-01-20 |
| 1104473974 | Daquan Ford | Technician | 7011 Hunters Glen Drive, Charlotte, NC 28214 | 2019-08-26 |
| 1457836736 | Miracle Houses, Inc. | Community Based Residential Treatment Facility, Mental Illness | 7827 Kerry Brook Circle, Charlotte, NC 28214 | 2018-10-02 |
| 1912481029 | Charlotte Afriyie | Behavior Technician | 2122 Sonoma Valley Drive, Charlotte, NC 28214 | 2018-09-25 |
| 1588161350 | Future Impression | Counselor | 619 Sullivan Street, Charlotte, NC 28214 | 2018-04-09 |
| 1588072326 | Key Choice Counseling | Community/Behavioral Health | 2909 Berry Creek Rd., Charlotte, NC 28214 | 2014-07-24 |
| 1255751699 | Joyce Patterson Melton | Registered Nurse | 7409 Pawtuckett Rd, Charlotte, NC 28214 | 2014-04-24 |
| 1407271109 | Central Carolina Medical Clinic, Pa | Internal Medicine | 515 Little Rock Road, Charlotte, NC 28214 | 2014-03-04 |
| 1063764702 | Autism Services of Mecklenburg County, Inc. | Intermediate Care Facility, Mentally Retarded | 5917 Rowan Way, Charlotte, NC 28214 | 2012-10-04 |
| 1043569460 | Loretta Massey | Social Worker | 2202 Lisa Carole Drive, Charlotte, NC 28214 | 2012-08-30 |
| Find all providers in zip 28214 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124638317 | Jakita Strong | Nurse Practitioner | 1506 Ladora Dr, Charlotte, NC 28262-6414 | 2020-08-03 |
| 1689209710 | Ana Rita Frey | Nurse Practitioner | 601 E 5th St Ste 140, Charlotte, NC 28202-3092 | 2020-03-09 |
| 1356994966 | Brandi Elizabeth Thompson | Nurse Practitioner | 10430 Park Rd Ste 100a, Charlotte, NC 28210-8541 | 2019-07-23 |
| 1609342252 | Healthgram, Inc. | Nurse Practitioner | 8731 Red Oak Blvd, Charlotte, NC 28217-3984 | 2018-10-22 |
| 1407373319 | Chariti G Lowder | Nurse Practitioner | 2607 W Arrowood Rd, Charlotte, NC 28273-6134 | 2017-08-23 |
| 1164871166 | Sheila Ann Morris | Nurse Practitioner | 115 Shady Cir, Charlotte, NC 28216-2639 | 2016-06-09 |
| 1700400454 | Caroline Michelle Turner | Nurse Practitioner | 300 Billingsley Rd Ste 101, Charlotte, NC 28211-1084 | 2020-05-28 |
| 1053943647 | Amaya Johnson | Nurse Practitioner | 2540 W Arrowood Rd Ste 110, Charlotte, NC 28273-6198 | 2020-02-11 |
| 1518528728 | Paula Gingles | Nurse Practitioner | 6133 The Plz, Charlotte, NC 28215-2401 | 2019-06-27 |
| 1720641939 | Pauline Sylvia Parker | Nurse Practitioner | 4920 Albemarle Rd, Charlotte, NC 28205-6618 | 2019-04-15 |
| Find all providers in CHARLOTTE | ||||
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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.