Jennifer Ann Gagnon, CNM

Primary specialty

Advanced Practice MidwifeTaxonomy code 367A00000X

License

APRN-2398 Issued in HI

Practice address

30 N Church St Ste 300
Wailuku, HI 96793-1600

Phone

(808) 242-9787

Fax

(888) 972-5617

NPI assigned

Oct 2, 2006

Last updated

Mar 17, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Certified Nurse Midwife

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/18081/brand/1/csg/1/fhir/r4

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

• Celeste Adrian M.D., LLC

  • Medical Specialty Clinic/Center
  • Wailuku, HI
  • NPI 1386901148
  NPD (past)
• The Women's Health Center of Maui, LLC

  • Specialist
  • Wailuku, HI
  • NPI 1962659714
  NPD (past)
• A Woman's Place Birth and Health Resources

  • Advanced Practice Midwife
  • Chicago, IL
  • NPI 1538293337
  NPD (past)

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

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1740373331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N CHURCH ST STE 300",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931600",
            "telephone_number": "808-242-9787",
            "fax_number": "888-972-5617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N CHURCH ST STE 300",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967931600",
            "telephone_number": "808-242-9787",
            "fax_number": "888-972-5617"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2803 N Southport",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "60657",
            "country_code": "US",
            "telephone_number": "773-472-9400",
            "fax_number": "773-472-9400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-02",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "HI",
            "license": "APRN-2398",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laurie Hiroko Fukushima, PHARM.D.
• Ronald Jesse Keahi Fukushima
• Wesley H Furumoto
• Kara Fusato
• Roswitha E Gabriel, PT
• Lisa M Gagnon, LMT
• Michelle C. Galarza
• Analiza Galuardo
• Douglas J Gamet, M.D.
• Kelli Ganiko, PT, DPT, MOT, OTR/L

• Advanced Practice Midwife in Wailuku, HI
• Providers in Wailuku, HI by specialty
• Advanced Practice Midwife in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.