Active NPI
Tammy Lynne Gagnon, M.S.
- Specialist
- University Place, WA
National Provider Identifier
1427474980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 282162R
- Practice address
- 8425 40TH St W
University Place, WA 98466-2041 - Phone
- (253) 651-0932
- NPI assigned
- Mar 7, 2014
- Last updated
- Mar 7, 2014
- Sex
- Female
- Sole proprietor
- No
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 | 282162R | WA | Primary |
Addresses
Primary practice location
8425 40TH St W
University Place, WA 98466-2041
Mailing address
9426 187TH Street CT E
Puyallup, WA 98375-6222
Phone (253) 651-0932
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 282162R | WA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394150400000",
"number": "1427474980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9426 187TH STREET CT E",
"city": "PUYALLUP",
"state": "WA",
"postal_code": "983756222",
"telephone_number": "253-651-0932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8425 40TH ST W",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984662041",
"telephone_number": "253-651-0932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "TAMMY",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "M.S.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-03-07",
"last_updated": "2014-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "282162R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.