Active NPI
Steven D Gagne
- Adult Companion
- Bristol, CT
National Provider Identifier
1043939416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Companion
- License
- HCA.0002055
- Practice address
- 208 Dino Rd
Bristol, CT 06010-7888 - Phone
- (860) 329-7024
- NPI assigned
- Aug 26, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Homemaker | 376J00000X | HCA.0002055 | CT | |
| Adult Companion | 372600000X | HCA.0002055 | CT | Primary |
Addresses
Primary practice location
208 Dino Rd
Bristol, CT 06010-7888
Mailing address
208 Dino Rd
Bristol, CT 06010-7888
Phone (860) 329-7024
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| HCA.0002055 | CT | MD | Adult Companion |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1043939416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "208 DINO RD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060107888",
"telephone_number": "860-329-7024"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "208 DINO RD",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060107888",
"telephone_number": "860-329-7024"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNE",
"first_name": "STEVEN",
"middle_name": "D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": "CT",
"license": "HCA.0002055",
"primary": false
},
{
"code": "372600000X",
"taxonomy_group": "",
"desc": "Adult Companion",
"state": "CT",
"license": "HCA.0002055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bristol, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.