IndividualActive
Camille Gannon
NPI 1003644428 · Physician Assistant · Longmont, CO
Camille Gannon is a Physician Assistant provider in Longmont, CO (NPI 1003644428).
Provider details
- NPI number
- 1003644428
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2017 100 Yearparty Ct # 80504
Longmont, CO 80504-8475
Phone: (303) 848-3800
Street-level locationGet directions
Mailing address
220 Wright St Apt 203
Lakewood, CO 80228-1409
Additional practice locations (1)
- 3601 Arapahoe Ave Unit D176Boulder, CO 80303-1310Phone: (303) 848-3800
Registry dates
- Enumerated
- 2024-07-25
- Last updated
- 2026-04-02
- Certified
- 2026-04-02
Frequently asked questions
- What is Camille Gannon's NPI number?
- Camille Gannon's National Provider Identifier (NPI) is 1003644428, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Camille Gannon's specialty?
- Camille Gannon is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Camille Gannon located?
- Camille Gannon's practice location on file with NPPES is 2017 100 Yearparty Ct # 80504, Longmont, CO 80504-8475.
- What is Camille Gannon's phone number?
- The practice phone number listed in the NPPES registry for Camille Gannon is (303) 848-3800.
- Is Camille Gannon's NPI active?
- Yes — Camille Gannon's NPI (1003644428) is active in the NPPES registry as of the last update on 2026-04-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.