Active NPI
Nancy Gagan
- Student in an Organized Health Care Education/Training Program
- Santa Fe, NM
National Provider Identifier
1972046258
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 805 Early St
Santa Fe, NM 87505-1607 - Phone
- (505) 955-0410
- Fax
- (505) 955-8577
- NPI assigned
- Nov 18, 2016
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
805 Early St
Santa Fe, NM 87505-1607
Mailing address
102 N Coronado Ave
Espanola, NM 87532-2700
Phone (505) 629-1813
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 35588519 | Medicaid | NM |
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1479427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479427200000",
"number": "1972046258",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "102 N CORONADO AVE",
"city": "ESPANOLA",
"state": "NM",
"postal_code": "875322700",
"telephone_number": "505-629-1813",
"fax_number": "505-753-6947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "805 EARLY ST",
"city": "SANTA FE",
"state": "NM",
"postal_code": "875051607",
"telephone_number": "505-955-0410",
"fax_number": "505-955-8577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAGAN",
"first_name": "NANCY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-18",
"last_updated": "2016-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "35588519",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Santa Fe, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.