ELIZABETH GARDNER (NPI# 1295734333) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1295734333 |
Entity Type | Individual |
Full Name | ELIZABETH GARDNER |
Credential | APRN, DNP |
Practice Address |
601 N Industrial Blvd Bedford TX 76021-5234 |
Mailing Address |
13013 Sweet Bay Dr Euless TX 76040-7181 |
Practice Telephone | 8172830161 |
Mailing Telephone | 2147831489 |
Enumeration Date | 2005-07-20 |
Last Update Date | 2019-01-28 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
AP106039 | TX | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 060559402 | 05 | |
TX | 060559404 | 05 | |
TX | BLUE CROSS BLUE SHIELD | 8N4809 | 01 |
TX | 060559403 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
5201 Harry Hines Blvd, Medical Staff Services, Dallas, TX 752357708 | 2145908006 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568079770 | Elizabeth Gardner | Speech-Language Pathologist | 10 Franklin Blvd Apt 307, Long Beach, NY 11561-4511 | 2020-09-30 |
1639672934 | Elizabeth Jeanne Griffith Gardner | Social Worker | 26u Hopkins Rd, Taunton, MA 02780-3724 | 2018-03-13 |
1619417797 | Elizabeth Jeanne Gardner | Counselor | 1033 Symphony Dr, Aurora, IL 60504-5518 | 2017-03-08 |
1366770166 | Elizabeth Marie Gardner | Physician Assistant | 1421 Main Street, Suite 111, Boerne, TX 78006-3322 | 2009-12-07 |
1639180441 | Elizabeth K. Gardner | Occupational Therapist | 3210 200th Pl Sw, Lynnwood, WA 98036-6934 | 2006-08-10 |
1700404910 | Elizabeth Danielle Gardner | Clinical Nurse Specialist | 1407 N Whisenant Dr, Duncan, OK 73533-1650 | 2020-07-14 |
1164944054 | Elizabeth Gardner | Social Worker | 34 W 2nd St, Ashland, OH 44805-2201 | 2017-07-12 |
1972959203 | Elizabeth Gardner | Internal Medicine | 575 W 181st St, New York, NY 10033-5002 | 2016-05-05 |
1790144723 | Elizabeth Gardner | Counselor | 100 Poydras St, Lafayette, LA 70501-4740 | 2016-02-18 |
1326423229 | Elizabeth Gardner | Nurse Practitioner | 2800 Blue Ridge Rd Ste 400, Raleigh, NC 27607-6477 | 2015-07-21 |
Street Address |
601 N INDUSTRIAL BLVD |
City | BEDFORD |
State | TX |
Zip Code | 76021-5234 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245837368 | Haleigh Buck | Nurse Practitioner | 601 N Industrial Blvd, Bedford, TX 76021-5234 | 2020-10-01 |
1215380704 | Tiara Criner | Physician Assistant | 601 N Industrial Blvd, Bedford, TX 76021-5234 | 2016-07-19 |
1154779064 | Sonija Shrestha | Nurse Practitioner | 601 N Industrial Blvd, Bedford, TX 76021 | 2016-06-01 |
1932538501 | Nkechi O. Onyegasi | Nurse Practitioner | 601 N Industrial Blvd, Bedford, TX 76021-5234 | 2013-11-05 |
1770926123 | Saleema Hirani | Nurse Practitioner | 601 N Industrial Blvd, Bedford, TX 76021-5234 | 2013-04-15 |
1760723209 | Hedrine Mande Nana | Nurse Practitioner | 601 N Industrial Blvd, Bedford, TX 76021-5234 | 2013-03-07 |
1134319908 | Janus Long Jacobs | Nurse Practitioner | 601 N Industrial Blvd, Bedford, TX 76021-5234 | 2007-07-27 |
1730286238 | Cvs Pharmacy Inc | Durable Medical Equipment & Medical Supplies | 601 N Industrial Blvd, Bedford, TX 76021-5234 | 2006-09-20 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1396357851 | Crystal Le | Pharmacist | 4121 E Hardwood Rd, Bedford, TX 76021 | 2020-08-17 |
1114544095 | Morgan Sanders | Physical Therapist | 2419 Tx 121, Bedford, TX 76021 | 2020-06-26 |
1669938171 | Tracie Thomas | Nurse Practitioner | 3901 Airport Freeway, Suite 230, Bedford, TX 76021 | 2019-02-20 |
1346710928 | Bedford Pharmacy LLC | Pharmacy | 2816 Central Dr Ste 160, Bedford, TX 76021 | 2018-11-27 |
1861973562 | Healogix Consultants, LLC | Pharmacy | 601-1 Harwood Rd, Bedford, TX 76021 | 2018-08-22 |
1851870570 | Artie Lee Nolen | Licensed Vocational Nurse | 1415 Shady Ln, Bedford, TX 76021 | 2018-08-13 |
1821510496 | Gabriela D Driskill | Counselor | 201 E. 9th Street, Dallas, TX 76021 | 2017-07-14 |
1588190938 | Tdc-bedford Dialysis Clinic LLC | Clinic/Center | 725 N Industrial Blvd, Ste 100, Bedford, TX 76021 | 2017-05-04 |
1801246673 | Tamara Allen-wolf, LLC | Counselor | 2217 Martin Dr., Ste 200, Bedford, TX 76021 | 2016-06-13 |
1013399799 | Nirvana Dental | Clinic/Center | 3704 Cheek Sparger Road #100, Bedford, TX 76021 | 2015-06-18 |
Find all providers in zip 76021 |
Taxonomy Code | 363LF0000X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Nurse Practitioner |
Specialization | Family |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1629680814 | Heather Jean Dozois | Nurse Practitioner | 80 Palomino Ln Ste 402, Bedford, NH 03110-6447 | 2020-08-19 |
1760004337 | Pamela Urick | Nurse Practitioner | 33 Darby Ln, Bedford, NH 03110-4517 | 2020-05-17 |
1710513932 | Nirmal Shrestha Deoju | Nurse Practitioner | 2345 Leafy Glen Ct, Bedford, TX 76022-6114 | 2020-03-19 |
1639729445 | Erin Lynn Dedman | Nurse Practitioner | 470 Us-421, Bedford, KY 40006 | 2019-09-13 |
1013495837 | Stephanie Ann Mason | Nurse Practitioner | 2415 Mitchell Rd Ste C, Bedford, IN 47421-4731 | 2018-08-02 |
1386121424 | Sara Elizabeth Kazanowski | Nurse Practitioner | 5 Washington Pl Ste 1a, Bedford, NH 03110-6771 | 2018-07-22 |
1144722539 | Leslie Stevens Kipp | Nurse Practitioner | 1305 Airport Fwy Ste 420, Bedford, TX 76021-6605 | 2018-03-01 |
1407370216 | Laura L Boulter | Nurse Practitioner | 154 Great Rd, Bedford, MA 01730-2725 | 2017-08-02 |
1003339623 | Kathryn Lynn Alto | Nurse Practitioner | 88 Center Rd Ste 250a, Bedford, OH 44146-2711 | 2017-07-25 |
1306399811 | Caitlin Wright | Nurse Practitioner | 2512b Q St, Bedford, IN 47421-4928 | 2016-08-01 |
Find all providers in BEDFORD |
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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.