Active NPI
Jennifer Gagnon, CRNA
- Certified Registered Nurse Anesthetist
- Nashua, NH
National Provider Identifier
1609940477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 014461-23-11
- Practice address
- 8 Prospect St
Anesthesia Dept.
Nashua, NH 03060-3925 - Phone
- (603) 889-2624
- NPI assigned
- Nov 20, 2006
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 014461-23-11 | NH | Primary |
Addresses
Primary practice location
8 Prospect St
Anesthesia Dept.
Nashua, NH 03060-3925
Mailing address
PO Box 847056
Nashua Anesthesia Partners
Boston, MA 02284-7056
Phone (800) 720-1664
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 30011494 | Medicaid | NH |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nashua Anesthesia Partners | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Nashua, NH
- NPI 1124073945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163980800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195084800000",
"number": "1609940477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 847056",
"address_2": "NASHUA ANESTHESIA PARTNERS",
"city": "BOSTON",
"state": "MA",
"postal_code": "022847056",
"telephone_number": "800-720-1664"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 PROSPECT ST",
"address_2": "ANESTHESIA DEPT.",
"city": "NASHUA",
"state": "NH",
"postal_code": "030603925",
"telephone_number": "603-889-2624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGNON",
"first_name": "JENNIFER",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-20",
"last_updated": "2007-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "NH",
"license": "014461-23-11",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30011494",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Nashua, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.