Annette Marie Gagnon, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

3006074 Issued in WA

Practice address

514 S 13TH St
Tacoma, WA 98402-1908

Phone

(253) 396-5000

Fax

(253) 383-5548

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Comprehensive Mental Health Center of Tacoma-Pierce County

  • Community/Behavioral Health Agency
  • Tacoma, WA
  • NPI 1952597056
  NPD (past)
• Western Psychological and Counseling Services LLC

  • Clinical Psychologist
  • Tacoma, WA
  • NPI 1912008178
  NPD (past)

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

{
    "created_epoch": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497978811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "514 S 13TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021908",
            "telephone_number": "253-396-5000",
            "fax_number": "253-383-5548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "514 S 13TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984021908",
            "telephone_number": "253-396-5000",
            "fax_number": "253-383-5548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "ANNETTE",
        "middle_name": "MARIE",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "3006074",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9634643",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephani Christine Gadsden
• Jasmine Gadzala
• Desiree Marie Gaffney, MA, LMHC
• Michael Lawrence Gage, DDS PS
• Suzette Marie Gagnon-Bailey, ARNP
• Gregory Alan Gahm, PH.D.
• Diana R Gaidies
• Gail T. Weyerhaeuser, PHD PLLC
• Jennifer Ann Marie Gaines, MA, LMHC, MHP
• Megan Gaines

• Nurse Practitioner in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.