Amanda L Gagnon

Primary specialty

Occupational Health Registered NurseTaxonomy code 163WX0106X

License

110099 Issued in KS

Practice address

1060 Gaffney Rd Stop 7440
Ft Wainwright, AK 99703-5007

Phone

(907) 361-5301

Fax

(907) 361-4847

NPI assigned

Feb 1, 2013

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359676800000",
    "number": "1942549506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-5301",
            "fax_number": "907-361-4847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 GAFFNEY RD STOP 7440",
            "city": "FT WAINWRIGHT",
            "state": "AK",
            "postal_code": "997035007",
            "telephone_number": "907-361-5301",
            "fax_number": "907-361-4847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGNON",
        "first_name": "AMANDA",
        "middle_name": "L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-01",
        "last_updated": "2013-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WX0106X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Occupational Health",
            "state": "KS",
            "license": "110099",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Fox, ATC
• McKay Frandsen, DO
• Gregory S. Furdek, DDS
• Kathleen Marie Furness, LPC, LMHC
• Arleene Fussalva, LCSW
• Kaitlyn E. Gamber, PA-C
• Joshua B Geiger, DNP, FNP-C
• Kimberly Ann Genkov, DNP, PMH-BC
• Daniel Wellin Gerstenfield, LCSW, BCD, MAC
• Vonya Gibbons, DNP, FNP-C

• Occupational Health Registered Nurse in Ft Wainwright, AK
• Providers in Ft Wainwright, AK by specialty
• Occupational Health Registered Nurse in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2013; 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.