Athena Theresa Bagaipo, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ00442900 Issued in NJ

Practice address

290 Red School LN
Phillipsburg, NJ 08865-2276

Phone

(908) 246-7060

Fax

(610) 335-4404

NPI assigned

Feb 2, 2013

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1359763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1399334400000",
    "number": "1023357605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "617 ALMOND CT",
            "city": "FLEMINGTON",
            "state": "NJ",
            "postal_code": "088223141",
            "telephone_number": "908-968-3030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 RED SCHOOL LN",
            "city": "PHILLIPSBURG",
            "state": "NJ",
            "postal_code": "088652276",
            "telephone_number": "908-246-7060",
            "fax_number": "610-335-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAGAIPO",
        "first_name": "ATHENA",
        "middle_name": "THERESA",
        "credential": "FNP-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-02",
        "last_updated": "2014-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ00442900",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "33 336397",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Tina Bacon
• Nancy Badger, APN
• Philip Anthony Baldo III, D.M.D.
• Joseph Thomas Balum Jr., RN
• Sage M Banfield, DC
• Jed Bartholomew, PHARMD
• Shane Michelle Bartholomew, CRNP

• Family Nurse Practitioner in Phillipsburg, NJ
• Providers in Phillipsburg, NJ by specialty
• Family Nurse Practitioner in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.