IndividualActive
Amanda Fagan
NPI 1790664142 · Paramedic · Gardner, IL
Amanda Fagan is a Paramedic provider in Gardner, IL (NPI 1790664142).
Provider details
- NPI number
- 1790664142
- Entity type
- Individual
- Primary specialty
- ParamedicEmergency Medical Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 000828467 (IL)
Specialties & taxonomies
Emergency Medical Service 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
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
206 Depot St
Gardner, IL 60424-9441
Phone: (815) 557-0980
Street-level locationGet directions
Mailing address
684 Circle Dr
Coal City, IL 60416-4003
Registry dates
- Enumerated
- 2025-08-29
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Frequently asked questions
- What is Amanda Fagan's NPI number?
- Amanda Fagan's National Provider Identifier (NPI) is 1790664142, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Amanda Fagan's specialty?
- Amanda Fagan is listed in the NPPES registry with a primary specialty of Paramedic (Emergency Medical Service Providers).
- Where is Amanda Fagan located?
- Amanda Fagan's practice location on file with NPPES is 206 Depot St, Gardner, IL 60424-9441.
- What is Amanda Fagan's phone number?
- The practice phone number listed in the NPPES registry for Amanda Fagan is (815) 557-0980.
- Is Amanda Fagan's NPI active?
- Yes — Amanda Fagan's NPI (1790664142) is active in the NPPES registry as of the last update on 2025-08-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.