Active NPI
June Linden Gagnon, M.A.
- Specialist
- Westbrook, ME
National Provider Identifier
1174760557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 399353
- Practice address
- 81 Monroe Ave
Westbrook, ME 04092-4019 - Phone
- (207) 856-9989
- Fax
- (207) 854-8433
- NPI assigned
- Jan 7, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 399353 | ME | Primary |
Addresses
Primary practice location
81 Monroe Ave
Westbrook, ME 04092-4019
Mailing address
81 Monroe Ave
Westbrook, ME 04092-4019
Phone (207) 856-9989
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 399353 | ME | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231286400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1231286400000",
"number": "1174760557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81 MONROE AVE",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924019",
"telephone_number": "207-856-9989",
"fax_number": "207-854-8433"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81 MONROE AVE",
"city": "WESTBROOK",
"state": "ME",
"postal_code": "040924019",
"telephone_number": "207-856-9989",
"fax_number": "207-854-8433"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "JUNE",
"middle_name": "LINDEN",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-01-07",
"last_updated": "2009-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "ME",
"license": "399353",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbrook, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.