IndividualActive
Shawntae Gagnon, CNM, WHNP
NPI 1124871942 · Women's Health Nurse Practitioner · Layton, UT
Provider details
- NPI number
- 1124871942
- Entity type
- Individual
- Primary specialty
- Women's Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- CNM, WHNP
- Sex
- Female
- Sole proprietor
- Yes
- License
- 11772267-4402 (UT)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
Established profile(61/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% 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
1660 W Antelope Dr Ste 205
Layton, UT 84041-1165
Phone: (801) 917-6104
Street-level locationGet directions
Mailing address
564 Valeria Dr
Layton, UT 84041-3314
Additional practice locations (1)
- 564 Valeria DrLayton, UT 84041-3314Phone: (435) 730-5329
Registry dates
- Enumerated
- 2024-04-10
- Last updated
- 2024-04-10
- Certified
- 2024-04-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.