Erin Anne Gagnon, ERIN GAGNON

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC351 Issued in ME

Practice address

980 Forest Ave Ste 204
Portland, ME 04103-3336

Phone

(207) 831-3703

NPI assigned

Sep 9, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Erin Anne Gagnon Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1220918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674518400000",
    "number": "1396994711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 FOREST AVE STE 204",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033336",
            "telephone_number": "207-831-3703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "980 FOREST AVE STE 204",
            "city": "PORTLAND",
            "state": "ME",
            "postal_code": "041033336",
            "telephone_number": "207-831-3703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "ERIN",
        "middle_name": "ANNE",
        "credential": "ERIN GAGNON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-09-09",
        "last_updated": "2023-01-24",
        "certification_date": "2023-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "ME",
            "license": "OT1068",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "ME",
            "license": "AC351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "GAGNON",
            "middle_name": "ANNE",
            "credential": "OTR/L, L.AC. MAOM",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• G and J Solutions
• Colleen Kenney Gabel, MD
• Gabriel Thompson Psychotherapy, LLC
• Philip C Gage, NP
• Laurence N Gagne
• James B Gagnon, M.D.
• Joelle P. Gagnon, DO
• Charles Francis Galarraga, LCPC-C
• Molly Sue Galasyn, PA
• Kaleigh Madison Gale

• Acupuncturist in Portland, ME
• Providers in Portland, ME by specialty
• Acupuncturist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2023; 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.