Gagne Medical Health Care P.a.

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

Legal business name

GAGNE MEDICAL HEALTH CARE P.A.

Practice address

331 E Main St Ste 200
Rock Hill, SC 29730-5384

Phone

(704) 438-0687

Fax

(844) 591-0104

NPI assigned

Apr 26, 2017

Organization subpart

No

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

Authorized official

Name

Kelli Gagne

Title

Owner

Phone

(704) 438-0687

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1493164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1493164800000",
    "number": "1740715929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST STE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305384",
            "telephone_number": "704-438-0687",
            "fax_number": "844-591-0104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 E MAIN ST STE 200",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297305384",
            "telephone_number": "704-438-0687",
            "fax_number": "844-591-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GAGNE MEDICAL HEALTH CARE P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-26",
        "last_updated": "2017-04-26",
        "status": "A",
        "authorized_official_last_name": "GAGNE",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-438-0687"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vonda Fulton, RBT
• Joy Doner Furchner, MSPT
• Ebony Futrell
• Diane Louise Gabanyic, MS OTR L
• Gagne Behavioral Health Care PA
• Kelli P Gagne, APRN
• Jennifer Gainer, PA-C
• Nichole Shiontaine Gaines, FNP
• Tonya Gaines, OTR/L
• Walter Calvin Gainey, A.T.,C., S.C.A.T.

• Family Nurse Practitioner in Rock Hill, SC
• Providers in Rock Hill, SC by specialty
• Family Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.