KIMBERLY GAGE NP NPI 1780607671

NPI Information

NPI: 1780607671
Provider Name: KIMBERLY GAGE, NP
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

Organization: BEHAVIORAL HEALTH NETWORK INC

PECOS Registration: Yes

Address:
511 E COLUMBUS AVE
SPRINGFIELD, MA
ZIP 01105
Phone: (413) 827-8959
Get Directions

Kimberly Gage, NP is a psychiatric/mental health nurse practitioner in Springfield, MA with 23 years of experience. Kimberly Gage, NP NPI is 1780607671. 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:

511 E COLUMBUS AVE
SPRINGFIELD, MA
ZIP 01105-506
Phone: (413) 827-8959
Fax: (413) 827-7015

The NPI 1780607671 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 7/25/2006 and was last updated on 10/4/2011.

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	364SP0808X	Clinical Nurse Specialist	Psychiatric/Mental Health	183097	MASSACHUSETTS	No
2	363LF0000X	Nurse Practitioner	Family	183097	MASSACHUSETTS	No
3	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	183097	MASSACHUSETTS	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	D40000830	MEDICARE UPIN	CONNECTICUT

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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