NICOLE LEANNE GARDNER (NPI# 1164727210) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164727210 |
| Entity Type | Individual |
| Full Name | NICOLE LEANNE GARDNER |
| Credential | ARNP,FNP |
| Practice Address |
1326 Sr 100 Grandin FL 32138-1326 |
| Mailing Address |
Po Box 380129 Grandin FL 32138-0129 |
| Practice Telephone | 3866592104 |
| Practice Fax Number | 3866592196 |
| Mailing Telephone | 3866592104 |
| Mailing Fax Number | 3866592196 |
| Enumeration Date | 2011-01-21 |
| Last Update Date | 2011-01-21 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
ARNP9281946 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | STATE | ARNP9281946 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134616329 | Nicole Gardner | Behavioral Analyst | 100 Franklin Square Dr Ste 205, Somerset, NJ 08873-4109 | 2018-04-13 |
| 1295116747 | Nicole Gardner | Social Worker | 5447 South Durango Drive, Las Vegas, NV 89113 | 2015-06-10 |
| 1598065609 | Nicole A Gardner | Counselor | 2121 N Webb Rd, Ste. 205, Grand Island, NE 68803-1751 | 2010-10-25 |
| 1043449010 | Nicole K Gardner | Marriage & Family Therapist | 806 Elm Ave, Greenfield, CA 93927 | 2009-07-10 |
| Street Address |
1326 SR 100 |
| City | GRANDIN |
| State | FL |
| Zip Code | 32138-1326 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780700849 | Robin A Geiger | Nurse Practitioner | 1326 Sr 100, Grandin, FL 32138 | 2007-03-21 |
| 1760625115 | M. Celeste Segrest | Specialist | 1326 Sr 100, Grandin, FL 32138-0129 | 2009-04-15 |
| 1386887891 | Laura Theresa Lebo | Nurse Practitioner | 1326 Sr 100, Grandin, FL 32138 | 2009-04-14 |
| 1790961688 | Birth and Beyond Birth Center | Advanced Practice Midwife | 1326 Sr 100, Grandin, FL 32138 | 2008-01-10 |
| 1902098296 | Grandin Family Practice LLC | General Practice | 1326 Sr 100, Grandin, FL 32138-0129 | 2007-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902833668 | Birth & Beyond P A | Nurse Practitioner | 1326 State Road 100, Grandin, FL 32138 | 2006-06-27 |
| 1447225966 | Anita Lenas | Nurse Practitioner | 1326 State Road 100, Grandin, FL 32138-0129 | 2006-02-19 |
| 1225001415 | Constance Ann Young | Nurse Practitioner | 1326 State Rd 100, Grandin, FL 32138-0129 | 2006-02-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730307406 | Williams Care Facilities | Assisted Living Facility | 21 & O Hwy, Grandin, MO 63943 | 2007-04-20 |
| 1780700849 | Robin A Geiger | Nurse Practitioner | 1326 Sr 100, Grandin, FL 32138 | 2007-03-21 |
| 1447225966 | Anita Lenas | Nurse Practitioner | 1326 State Road 100, Grandin, FL 32138-0129 | 2006-02-19 |
| 1225001415 | Constance Ann Young | Nurse Practitioner | 1326 State Rd 100, Grandin, FL 32138-0129 | 2006-02-09 |
| 1760625115 | M. Celeste Segrest | Specialist | 1326 Sr 100, Grandin, FL 32138-0129 | 2009-04-15 |
| 1386887891 | Laura Theresa Lebo | Nurse Practitioner | 1326 Sr 100, Grandin, FL 32138 | 2009-04-14 |
| 1790961688 | Birth and Beyond Birth Center | Advanced Practice Midwife | 1326 Sr 100, Grandin, FL 32138 | 2008-01-10 |
| 1902098296 | Grandin Family Practice LLC | General Practice | 1326 Sr 100, Grandin, FL 32138-0129 | 2007-08-10 |
| 1902833668 | Birth & Beyond P A | Nurse Practitioner | 1326 State Road 100, Grandin, FL 32138 | 2006-06-27 |
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447225966 | Anita Lenas | Nurse Practitioner | 1326 State Road 100, Grandin, FL 32138-0129 | 2006-02-19 |
| 1225001415 | Constance Ann Young | Nurse Practitioner | 1326 State Rd 100, Grandin, FL 32138-0129 | 2006-02-09 |
| 1386887891 | Laura Theresa Lebo | Nurse Practitioner | 1326 Sr 100, Grandin, FL 32138 | 2009-04-14 |
| 1902833668 | Birth & Beyond P A | Nurse Practitioner | 1326 State Road 100, Grandin, FL 32138 | 2006-06-27 |
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|---|---|---|---|---|
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| 1508467325 | Digna Maria Espinosa | Nurse Practitioner | 13655 Sw 2nd St, Miami, FL 33184-1049 | 2020-11-06 |
| 1265033005 | Lourdes Milagros Rivera | Nurse Practitioner | 4512 Raintree Ridge Rd, Orlando, FL 32837-5133 | 2020-11-06 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.