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JUSTIN C GAGNON
NPI 1114819570
Licensed Practical Nurse in Enfield, CT

Active since July 18, 2025
153 HAZARD AVE, ENFIELD, CT 06082(860) 731-5522(860) 731-5536 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Justin C Gagnon NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JUSTIN C GAGNON (NPI 1114819570) is an individual licensed practical nurse in Enfield, Connecticut, licensed in Connecticut (38841) and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1114819570
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameJUSTIN C GAGNON
Location Address153 HAZARD AVEEnfield, CT 06082-4592
Mailing Address2 Waterside Xing Ste 401Windsor, CT 06095-1588 · (860) 697-3351 · Fax (860) 731-5536
Phone(860) 731-5522
Fax(860) 731-5536
Sole ProprietorNo
Enumeration DateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
✔ NPI 1114819570 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in CT · 38841
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
153 HAZARD AVE, Enfield, CT 06082
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHALIAR DREW
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
JULIANNE BERNSTEIN
Student in an Organized Health Care Education/Training Program
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MEILINE SMITH
Marriage & Family Therapist
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
MONICA E CRIMMINS
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
KEVIN LENIART
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 253-5020
AMY KINGSBURY
Counselor
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (860) 731-5522
ALEXA A LIUCCI
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571
JOHN A TINNIRELLA
Counselor (Mental Health)
153 HAZARD AVE
ENFIELD, CT 06082
Capitol Planning Region (877) 884-3571

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Justin Gagnon's NPI number?

The NPI number for Justin Gagnon is 1114819570. It was assigned to this individual provider in the NPPES registry on July 18, 2025.

Where is Justin Gagnon located?

Justin Gagnon practices at 153 Hazard Ave, Enfield, CT 06082. The listed phone number is (860) 731-5522.

What is Justin Gagnon's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Justin Gagnon was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.