Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Danielle Gagnon, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1164051249

Danielle Gagnon, MD is a Family Practice in Tiverton, Rhode Island. Qualified in 2020, 6 years ago. Practices with Coastal Medical Physicians Inc, a 219-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Rhode Island.

Years since qualifying
6
Licensed in
RI
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

711 Main Rd
Tiverton, RI 02878-1352
Phone: (401) 624-1400
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1 Guthrie Sq, Sayre, PA 18840-1625 — (570) 888-6666

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD19200 (RI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1164051249
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 2, 2020
Last updated in NPPESJune 12, 2023
Certification dateJune 12, 2023
Mailing address117 Ellenfield St Ste 101, Providence, RI 02905-4541

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Coastal Medical Physicians Inc — 219 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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