MRS. REBECCA LYNN GAGNE (NPI# 1851521215) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851521215 |
| Entity Type | Individual |
| Full Name | MRS. REBECCA LYNN GAGNE |
| Other Name | REBECCA GAGNE HENDERSON |
| Credential | RN MSN NP-C ACHPN |
| Practice Address |
360 W Rock Ave New Haven CT 06515-2106 |
| Mailing Address |
1450 Chapel St New Haven CT 06511-4405 |
| Practice Telephone | 3232705736 |
| Mailing Telephone | 3232705736 |
| Enumeration Date | 2009-07-20 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
4925 | CT | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1450 Chapel St, New Haven, CT 065114405 | 3232705736 |
| Street Address |
360 W ROCK AVE |
| City | NEW HAVEN |
| State | CT |
| Zip Code | 06515-2106 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699156356 | Erica Reshard | Counselor | 79 Long Hill Ter, New Haven, CT 06515 | 2015-06-17 |
| 1295136075 | Stephanie Silvestri | Social Worker | 63 Fountain Street, New Haven, CT 06515 | 2014-09-11 |
| 1013261080 | Kunal Kanani | Dentist | 122 Amity Rd, Dr. Dental, New Haven, CT 06515 | 2012-10-30 |
| 1104187673 | Dr.dental of New Haven, PC | Dentist | 122 Amity Road, New Haven, CT 06515 | 2012-05-31 |
| 1548551146 | Allyson Winzer | Speech-Language Pathologist | 901 Edgewood Ave, New Haven, CT 06515 | 2011-04-29 |
| 1326107376 | Jewish Family Service of New Haven Inc. | Clinic/Center | 1440 Whalley Ave, New Haven, CT 06515 | 2006-12-06 |
| 1710959101 | Traci D Nix | Psychologist | 194 Fountain St, New Haven, CT 06515 | 2006-02-01 |
| 1730298936 | Radiologic Assoc of Middletown PC | Radiology | 687 Campbell Ave, West Haven, CT 06515 | 2006-08-30 |
| 1881115657 | Ashley Marie Holodnak | Technician/Technologist | 130 Amity Road, New Haven, CT 06515-0651 | 2017-07-03 |
| 1821599127 | Kyisha Kia Velazquez | Counselor | 446a Blake Street, Suite 200, New Haven, CT 06515-0651 | 2018-02-22 |
| Find all providers in zip 06515 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710502810 | Ashley Stier | Nurse Practitioner | 58516 River Oaks Drive, New Haven, MI 48048-3329 | 2020-06-15 |
| 1396368676 | You Ri Hwang | Nurse Practitioner | 1050 State St, New Haven, CT 06511-2762 | 2020-05-21 |
| 1346707460 | Corbin Health Services | Nurse Practitioner | 50 Brewery St Unit 9658, New Haven, CT 06536-0658 | 2019-02-25 |
| 1235656042 | Jennifer L Cornell | Nurse Practitioner | 333 Cedar St # 2073, New Haven, CT 06510-3206 | 2017-08-23 |
| 1609317080 | Deirdre Gruber | Nurse Practitioner | 54 Meadow St Fl 9, New Haven, CT 06519-1719 | 2017-03-17 |
| 1134666076 | Sharon Corbin | Nurse Practitioner | 635 Elm St, New Haven, CT 06511-4136 | 2017-01-31 |
| 1902285976 | Mary Sytek | Nurse Practitioner | 110 Hemlock Rd, New Haven, CT 06515-2618 | 2015-05-23 |
| 1053706499 | Suzanna Smaldone | Nurse Practitioner | 1427 Chapel St., Sanjay Aggarwal Md LLC, New Haven, CT 06511-4403 | 2015-04-02 |
| 1497155634 | Cheryl Maenza | Nurse Practitioner | 789 Howard Ave Bldg 3, New Haven, CT 06519-1304 | 2014-08-25 |
| 1881922482 | Chantelle Marie Shimono-legault | Nurse Practitioner | 330 Cedar St Tmp3, New Haven, CT 06510-3218 | 2009-11-20 |
| Find all providers in NEW HAVEN | ||||
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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.