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AMANDA PAULETTE GANNON CDC-I, NPI 1285234419

Counselor in WARD COVE, AK

Last Updated on : Oct 27,2020

AMANDA PAULETTE GANNON CDC-I, NPI 1285234419

About AMANDA PAULETTE GANNON (NPI 1285234419)


AMANDA PAULETTE GANNON is a Counselor provider in WARD COVE, United States. Her medical specialization is Counselor with a focus in Addiction (Substance Use Disorder).

1285234419 is NPI number of AMANDA PAULETTE GANNON.

AMANDA PAULETTE GANNON's primary taxonomy code based on NPI Lookup is 101YA0400X with license number 4580. This taxonomy code refers to Counselor.

AMANDA PAULETTE GANNON has more than 1 years of experience.

AMANDA PAULETTE GANNON current practice location address is PO BOX 519, WARD COVE, AK. AMANDA PAULETTE GANNON can be reached out via phone at 512-423-8240 .

You can also correspond with AMANDA PAULETTE GANNON through mail at mailing address 201 DEERMOUNT ST FL 2, KETCHIKAN, AK, United States. Mailing address contact number is 907-228-9203.

The enumeration date of AMANDA PAULETTE GANNON is 27-Oct-2020. The provider is registered as an Individual and the NPI record was last updated 2 years ago.

1285234419 NPI Information

Basic NPI information of AMANDA PAULETTE GANNON (NPI 1285234419) is provided below.

Name AMANDA PAULETTE GANNON
National Provider Id (NPI) 1285234419
Entity Type Individual
Gender F
Credential CDC-I
Practice Address PO BOX 519,
WARD COVE, AK, United States
Practice Telephone 512-423-8240
Practice Fax Number
Mailing Address 201 DEERMOUNT ST FL 2 ,
KETCHIKAN, AK, United States
Mailing Telephone 907-228-9203
Mailing Fax Number 800-590-3277
Enumeration Date 27-Oct-2020
Last Updated Date 27-Oct-2020

AMANDA PAULETTE GANNON (NPI 1285234419) Primary Taxonomy Information

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs, the license data is associated to the taxonomy code.

Primary Taxonomy Code Clasification License Number License State
Y 101YA0400X Counselor, Addiction (Substance Use Disorder) 4580 AK

Additional Identifiers

Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type/Code Identifier State Identifier Issuer
1366719759 MEDICAID (05) AK

AMANDA PAULETTE GANNON (NPI 1285234419) Office Location

Office location of AMANDA PAULETTE GANNON is provided in the Google maps below.

Providers in same location

Here are a few of the other providers in the same location.

NPI Name Taxonomy Address Enumeration date
1205335809 SHAWNA STROUTH-SHAW Nurse Practitioner, Family 320 BAWDEN ST APT 313,
KETCHIKAN, AK, United States
08-Feb-2018
1811026693 PATRICIA ANNE HAUSER Social Worker, Clinical PO BOX 1386,
WARD COVE, AK, United States
05-Mar-2007
1043451180 MATTHEW FITZPATRICK Student in an Organized Health Care Education/Training Program PO BOX 1611,
WARD COVE, AK, United States
19-Mar-2009
1801081419 NEAL K HANSEN Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies PO BOX 1577,
WARD COVE, AK, United States
07-Sep-2007
1508174541 KINETIC PHYSICAL THERAPY LLC Clinic/Center, Physical Therapy PO BOX 794,
WARD COVE, AK, United States
23-Sep-2010
1346301728 MICHELE R SUSIE Nurse Practitioner, Family PO BOX 1413,
WARD COVE, AK, United States
12-Dec-2006
1689941825 REBECCA MAGEE Pharmacist PO BOX 537,
WARD COVE, AK, United States
16-Nov-2011
1629543046 PACIFIC PEDIATRICS, LLC Pediatrics PO BOX 1732,
WARD COVE, AK, United States
11-Oct-2018
1033278155 RUSSELL DEGROOTE MD PC Orthopaedic Surgery 7559 N. TONGASS AVE,
KETCHIKAN, AK, United States
06-Dec-2006
1285234419 AMANDA PAULETTE GANNON Counselor, Addiction (Substance Use Disorder) PO BOX 519,
WARD COVE, AK, United States
27-Oct-2020

How to check whether NPI 1063496693 is valid?

The following video explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

FAQs

Whose NPI Number is 1285234419?

1285234419 is the NPI number of AMANDA PAULETTE GANNON.

What is the specialty for AMANDA PAULETTE GANNON?

The Specialty of AMANDA PAULETTE GANNON is Counselor.

NPI number meaning

Field Name Field Value
NPI 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider.
Entity Type Code describing the type of health care provider that is being assigned an NPI. Codes are:
  • 1 = (Person): individual human being who furnishes health care;
  • 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
Provider Business Mailing Address The mailing address of the provider being identified contains First line, Second Line, City name, State name, Postal code, and Country code.
Provider Business Mailing Address Telephone Number The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
Provider Business Mailing Address Fax Number The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as ''Provider location address fax number''.
Provider Business Practice Location Address Telephone Number The telephone number associated with the location address of the provider being identified.
Provider Business Practice Location Address Fax Number The fax number associated with the location address of the provider being identified.
Provider Enumeration Date The date the provider was assigned a unique identifier (assigned an NPI).
Last Update Date The date that a record was last updated or changed.
Authorized Official Telephone Number The 10-position telephone number of the authorized official.
Healthcare Provider Taxonomy Code The Health Care Provider Taxonomy code is a unique alphanumeric code, ten characters in length. The code set is structured into three distinct "Levels" including Provider Type, Classification, and Area of Specialization.
Healthcare Provider Taxonomy Taxonomy Description of the Healthcare Provider.
Provider License Number Certain taxonomy selections will require you to enter your license number and the state where the license was issued. Select Foreign Country in the state drop down box if the license was issued outside of United States. The License Number field allows the following special characters: ampersand, apostrophe, colon, comma, forward slash, hyphen, left and right parentheses, period, pound sign, quotation mark, and semi-colon. A field cannot contain all special characters. DO NOT report the Social Security Number (SSN), IRS Individual Taxpayer Identification Number (ITIN) in this section.
Provider License Number State Code Provider License Number State Code #1
Healthcare Provider Primary Taxonomy Switch Primary Taxonomy:
  • X - The primary taxonomy switch is Not Answered;
  • Y - The taxonomy is the primary taxonomy (there can be only one per NPI record);
  • N - The taxonomy is not the primary taxonomy.
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