Anthony Michael Gagni

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

76 Mandala Peak Ave
Las Vegas, NV 89183-5509

Phone

(702) 978-3977

NPI assigned

Jan 17, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606608000000",
    "number": "1659845113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76 MANDALA PEAK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 MANDALA PEAK AVE",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891835509",
            "telephone_number": "702-978-3977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNI",
        "first_name": "ANTHONY",
        "middle_name": "MICHAEL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-01-17",
        "last_updated": "2020-11-29",
        "certification_date": "2020-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominic Skyler Gagen, RN
• Antoinette Gagliard, DPT
• David Gagliardi
• Christina Rose Gaglione, LCSW
• Melissa Gagne, LCSW
• Haley Ann Gagnon
• Eric William Gahan, ATC
• Rosemary Gailey
• Autumn Nicole Gaillard, PT, DPT
• Robert Anthony Gaimaro, PAC

• Case Manager/Care Coordinator in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Case Manager/Care Coordinator in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2020; 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.