MS. KATIEMARIE C GAGNON (NPI# 1396188306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396188306 |
Entity Type | Individual |
Full Name | MS. KATIEMARIE C GAGNON |
Credential | PNP |
Practice Address |
1000 E Broad St Richmond VA 23298-1930 |
Mailing Address |
Po Box 91734 Richmond VA 23291-1734 |
Practice Telephone | 8048289605 |
Practice Fax Number | 8046280267 |
Mailing Telephone | 8043586100 |
Mailing Fax Number | 8043427619 |
Enumeration Date | 2013-04-09 |
Last Update Date | 2018-12-06 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
0024170797 | VA | Physician Assistants & Advanced Practice Nursing Providers |
Address | Telephone Number | Fax Number |
---|---|---|
1250 E Marshall St, Richmond, VA 232985051 | 8048288605 | 8046280267 |
9000 Stony Point Pkwy, Richmond, VA 232351900 | 8045608900 | 8046285852 |
Street Address |
1000 E BROAD ST |
City | RICHMOND |
State | VA |
Zip Code | 23298-1930 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891305884 | Alyssa Regula | Dietitian, Registered | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-08-04 |
1932722667 | Jaimie Mary Parambil | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-28 |
1396368130 | Samuel Jonathan Pouncey | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-27 |
1396368155 | Christopher Ferrante | Student in an Organized Health Care Education/Training Program | 1000 E Broad St, Richmond, VA 23219-1930 | 2020-05-27 |
1780221226 | Erica Michelle Mitchell | Nurse Practitioner | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-12-03 |
1295376135 | Christina N. Murphy | Psychologist | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-10-02 |
1003377805 | Jessica Hallam | Registered Nurse | 1000 E Broad St, Richmond, VA 23219-1930 | 2019-03-26 |
1417426248 | Kyong Jin Lee | Internal Medicine | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-11-22 |
1386121416 | Lisa Lynn Rettig | Nurse Practitioner | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-07-21 |
1760973382 | Brook Vanbuesking | Social Worker | 1000 E Broad St, Richmond, VA 23219-1930 | 2018-05-21 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1730703604 | Russell Wayne Dowell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-05 |
1215551262 | Anna Leigh Cline | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Emergency Medicine, 980401, 1250 E Marshall Street, Richmond, VA 23298 | 2020-06-05 |
1598389629 | Annabel Eujung Baek | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Plastic Surgery Residency, 980154, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-06-04 |
1235752957 | Valerie Tammy Tran | Student in an Organized Health Care Education/Training Program | Internal Medicine Residency, 980509, 1250 E Marshall St, Richmond, VA 23298 | 2020-05-28 |
1386267193 | Michael Terribile | Student in an Organized Health Care Education/Training Program | Vcuhs Department of Pediatrics Residency, 980163, Richmond, VA 23298 | 2020-05-27 |
1417585449 | Ryan Louis Naum | Student in an Organized Health Care Education/Training Program | Vcuhs Dept. of Neurology Residency, #980599, 1250 E. Marshall Street, Richmond, VA 23298 | 2020-03-27 |
1477102531 | Shanon Fitzpatrick Beam | Nurse Practitioner | Vcu Medical Center, 1250 East Marshall Street, Richmond, VA 23298 | 2019-09-10 |
1922666924 | Sumerth Kumar Pathak | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Psychiatry, 980710, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
1467010595 | Christopher Bednarz | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Surgery Residency, 980118, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
1629636782 | Nicholet Mitchell | Student in an Organized Health Care Education/Training Program | Vcuhs Dept of Em Residency/fellowship, 980401, 1250 E. Marshall Street, Richmond, VA 23298 | 2019-06-04 |
Find all providers in zip 23298 |
Taxonomy Code | 363LP0200X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1407231582 | Abigail L Easter | Nurse Practitioner | 1001 Hoiaks Rd, Richmond, VA 23225-4029 | 2015-07-30 |
1841533890 | Lauren Etz Freeman | Nurse Practitioner | 7113 Three Chopt Road, Suite 101, Pediatric Associates of Richmond, Inc., Richmond, VA 23226 | 2013-03-28 |
1356547806 | Kathleen Mary Tauer | Nurse Practitioner | 700 E Franklin St, Dept of Juvenile Justice, Richmond, VA 23219-2328 | 2007-06-22 |
1154545580 | Shannon Flaherty | Nurse Practitioner | Vcu Medical Center Department of Emergency Medicine, 1201 E. Marshall St, Richmond, VA 23298-0401 | 2007-04-13 |
1356422539 | Beverly Hoehing | Nurse Practitioner | 1000 E Broad Street, Richmond, VA 23298 | 2006-10-17 |
1831128461 | Tiffany Clarke Lancaster | Nurse Practitioner | 10410 Ridgefield Parkway, Richmond, VA 23233 | 2006-07-03 |
1780298620 | Tara Lynne Taylor | Nurse Practitioner | 1250 E Marshall St, Richmond, VA 23298-5023 | 2020-09-08 |
1336700566 | Yu-yu Chao Du | Nurse Practitioner | 3600 W Broad St, Richmond, VA 23230-4915 | 2019-06-27 |
1053978239 | Brittany Siller | Nurse Practitioner | 7001 Forest Ave Ste 103, Richmond, VA 23230-1726 | 2019-05-23 |
1851867691 | Caroline Hughes | Nurse Practitioner | 10410 Ridgefield Pkwy, Richmond, VA 23233-3500 | 2018-10-19 |
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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.