Lisa Gagne, RN

Primary specialty

Administrator Registered NurseTaxonomy code 163WA2000X

License

136790 Issued in MO

Practice address

3001 S Douglas Blvd
Building 1094
Oklahoma City, OK 73150-1003

Phone

(405) 757-9532

NPI assigned

Dec 5, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 5

Addresses

Other names 1

• Lisa Wood Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1480896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480896000000",
    "number": "1386188704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 E 2ND ST # 136",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730345313",
            "telephone_number": "405-757-9532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 S DOUGLAS BLVD",
            "address_2": "BUILDING 1094",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731501003",
            "telephone_number": "405-757-9532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNE",
        "first_name": "LISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-05",
        "last_updated": "2016-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WF0300X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Flight",
            "state": "MO",
            "license": "136790",
            "primary": false
        },
        {
            "code": "163WA2000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Administrator",
            "state": "MO",
            "license": "136790",
            "primary": true
        },
        {
            "code": "163WC1400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, College Health",
            "state": "MO",
            "license": "136790",
            "primary": false
        },
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "MO",
            "license": "136790",
            "primary": false
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "MO",
            "license": "136790",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LISA",
            "last_name": "WOOD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Brandon Corey Gaddy, MPT
• Jasmine R Gaddy, M.D.
• Amy Gage, C-PRSS
• Heather Kristine Gaglio, M.S., LMFT
• Julie Ann Gaglione, LPC
• Erin Gagnon
• Angela K Gainer, NP
• Luke Michael Gainer
• Christian Gaines
• Darius Najuan Gaines

• Administrator Registered Nurse in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Administrator Registered Nurse in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2016; 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.