CHRISTOPHER ERIC GAGNON (NPI# 1720412216) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720412216 |
| Entity Type | Individual |
| Full Name | CHRISTOPHER ERIC GAGNON |
| Credential | AGACNP-BC |
| Practice Address |
333 Borthwick Ave Portsmouth NH 03801-7128 |
| Mailing Address |
Po Box 415348 Boston MA 02241-5348 |
| Practice Telephone | 6034365110 |
| Enumeration Date | 2013-09-03 |
| Last Update Date | 2019-10-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363L00000X | Nurse Practitioner | RN2269323 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LA2100X |
Nurse Practitioner Specialization: Acute Care |
RN2269323 | MA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 55 Lake Ave N, Worcester, MA 016550002 | 7744430027 |
| Street Address |
333 BORTHWICK AVE |
| City | PORTSMOUTH |
| State | NH |
| Zip Code | 03801-7128 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306847710 | Andrew Joseph Kulesza | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2005-08-09 |
| 1689280109 | Portsmouth Surgical Specialists LLC | Anesthesiology | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-09-21 |
| 1841808573 | Sarah Beasley | Nurse Practitioner | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-07-20 |
| 1144844044 | Wesley James Phillips | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801 | 2020-06-05 |
| 1093338055 | Neelam Grewal | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-26 |
| 1124641469 | Parisa Yazdani Kashef | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-05-21 |
| 1972123693 | Thomas Hamilton Warren | Pharmacist | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-22 |
| 1073132460 | Gregory Carbonella | Internal Medicine | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-15 |
| 1942829767 | William Ciurylo | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-11 |
| 1801415021 | Waleed Ismail | Student in an Organized Health Care Education/Training Program | 333 Borthwick Ave, Portsmouth, NH 03801-7128 | 2020-04-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407470305 | Nisha Vanmali | Student in an Organized Health Care Education/Training Program | 25 Newhampshire Ave, Suite 100, Portsmouth, NH 03801 | 2020-06-05 |
| 1528687456 | Raji Shaher | Student in an Organized Health Care Education/Training Program | Portsmouth Regional Hospital, 333 Borthwick Avenue Portsmouth, Nh 03801, Portsmouth, NH 03801 | 2020-04-10 |
| 1790262988 | Naturae, LLC | Naturopath | 501 Islington St., Ste 2b, Portsmouth, NH 03801 | 2018-07-20 |
| 1053854224 | Dewey Theodore Kahn II | Specialist | 105 Corporate Drive, Pease International Tradeport, Northeast Rehabilitation Hospital, Portsmouth, NH 03801 | 2016-11-21 |
| 1609322635 | Cvs Pharmacy | Pharmacist | 674 Islington Street, Portsmouth, NH 03801 | 2016-08-30 |
| 1164978375 | Maureen Mcpadden | Pharmacist | 117 Bow St Unit 114, Portsmouth, NH 03801 | 2016-08-28 |
| 1679922579 | Portsmouth Eye Pllc | Optometrist | 38 Daniel St., Portsmouth, NH 03801 | 2016-06-10 |
| 1659734127 | Sarah Jean Trafton | Nurse Practitioner | 79 Wibird St Apt #1, Portsmouth, NH 03801 | 2016-04-01 |
| 1184095002 | Holding Hope Healing Services, LLC. | Social Worker | 104 Congress St., Suite 303, Portsmouth, NH 03801 | 2015-10-19 |
| 1093185415 | Johanna Miriam Simmerman Mauss | Naturopath | 501 Islington Street, Suite 2b, Portsmouth, NH 03801 | 2015-09-28 |
| Find all providers in zip 03801 | ||||
| Taxonomy Code | 363L00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners. |
| Notes: Source: (1) American Nurses’ Association, American Nurses Credentialing Center, 1996 Certification Catalogue. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 549. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649835224 | Brenda Giddings | Nurse Practitioner | 116 Ledgewood Dr Apt 2, Portsmouth, NH 03801-6433 | 2019-05-08 |
| 1306313291 | Rossli Chace Delorey | Nurse Practitioner | 999 Islington St, Portsmouth, NH 03801-4229 | 2018-10-29 |
| 1871013995 | Michelle Renee Danielle Dillow | Nurse Practitioner | 1745 27th St, Portsmouth, OH 45662-2638 | 2017-06-20 |
| 1578003554 | Elyse Buttery | Nurse Practitioner | Mast One 1040 University Blvd, Suite 200, Portsmouth, VA 23703 | 2017-02-24 |
| 1033573910 | Michael L Purdy | Nurse Practitioner | 1735 27th Street Waller Bldg Suite 302, Portsmouth, OH 45662 | 2016-04-07 |
| 1285970608 | Kings Daughters Medical Specialties Inc | Nurse Practitioner | 1901 Argonne Road, Portsmouth, OH 45662 | 2012-12-13 |
| 1639471501 | New Hampshire Phs LLC | Nurse Practitioner | 1950 Lafayette Rd, Suite 201 Box 1, Portsmouth, NH 03801-8663 | 2010-11-29 |
| 1730414061 | Carolyn Dale Mckinnon | Nurse Practitioner | 1248 Kinneys Lane, Portsmouth, OH 45662-2677 | 2009-10-05 |
| 1235201419 | Diane M Langlois | Nurse Practitioner | 333 Borthwick Ave Ste 301, Portsmouth, NH 03801-7128 | 2006-11-14 |
| 1215951637 | Andrea Weilbrenner | Nurse Practitioner | 170 Commerce Way Ste 103, Portsmouth, NH 03801-3272 | 2006-07-27 |
| Find all providers in PORTSMOUTH | ||||
| City | PORTSMOUTH |
| Zip Code | 03801 |
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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.