KELLY ANNE FAGAN NPP NPI 1508928920

NPI Information

NPI: 1508928920
Provider Name: KELLY ANNE FAGAN, NPP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: RHA HEALTH SERVICES INC

PECOS Registration: Yes

Address:
90 ASHELAND AVE
ASHEVILLE, NC
ZIP 28801
Phone: (828) 254-2700
Get Directions

Kelly Anne Fagan, NPP is a psychiatric/mental health nurse practitioner in Asheville, NC with 18 years of experience. Kelly Anne Fagan, NPP NPI is 1508928920. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

90 ASHELAND AVE
ASHEVILLE, NC
ZIP 28801-021
Phone: (828) 254-2700

The NPI 1508928920 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/14/2006 and was last updated on 11/14/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0200X	Nurse Practitioner	Pediatrics	F381648-1	NEW YORK	No
2	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	F400995-1	NEW YORK	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	229768	NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	03240911	MEDICAID	NEW YORK
2	J400168230	MEDICARE PIN	NEW YORK

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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