TIFFANY MARIE GARDNER (NPI# 1306240106) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306240106 |
| Entity Type | Individual |
| Full Name | TIFFANY MARIE GARDNER |
| Other Name | TIFFANY MARIE HARRIS |
| Credential | NP-C |
| Practice Address |
1930 Bishop Ln Fl 12 Louisville KY 40218 |
| Mailing Address |
Po Box 776351 Chicago IL 60677-6351 |
| Practice Telephone | 5022725220 |
| Practice Fax Number | 5022725117 |
| Mailing Telephone | 5025889490 |
| Mailing Fax Number | 5022725116 |
| Enumeration Date | 2014-10-22 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
3008976 | KY | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 7100346900 | 05 | |
| IN | 201324590 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 555 S Floyd St, Louisville, KY 402023822 | 5025883440 | 5025883441 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790257392 | Tiffany Yvette Gardner | Nurse Practitioner | 301 Fm 757, Tyler, TX 75705-4503 | 2018-12-20 |
| 1992205637 | Tiffany Gardner | Registered Nurse | 2327 Londonderry Ln, Cordova, TN 38016-8413 | 2018-02-20 |
| 1588935654 | Tiffany Gardner | Occupational Therapist | 6950 Greenbriar Dr, Owasso, OK 74055-7388 | 2012-01-22 |
| 1558821702 | Tiffany Alexis Gardner | Student in an Organized Health Care Education/Training Program | 12631 E 17th Ave Ste B177, Aurora, CO 80045-2527 | 2019-03-22 |
| 1457823056 | Tiffany Hicks Gardner | Nurse Practitioner | 1155 Cedar Ct, Carbondale, IL 62901-5333 | 2018-12-19 |
| Street Address |
1930 BISHOP LN FL 12 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003194820 | Amanda Danielle Saccone | Nurse Practitioner | 1930 Bishop Ln Fl 12, Louisville, KY 40218-1921 | 2011-07-27 |
| 1457802076 | Tara Kestler | Nurse Practitioner | 1930 Bishop Ln Fl 12, Louisville, KY 40218 | 2016-10-19 |
| 1588068498 | Kristin Baisch | Nurse Practitioner | 1930 Bishop Ln Fl 12, Louisville, KY 40218-1921 | 2014-10-21 |
| 1912338534 | Aimee Lynne Smith | Registered Nurse | 1930 Bishop Ln Fl 12, Louisville, KY 40218-1921 | 2013-12-07 |
| 1629320791 | Andrea Marie Thomas | Nurse Practitioner | 1930 Bishop Ln Fl 12, Louisville, KY 40218 | 2012-10-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457951170 | Okey Patrick Mbadike | Pharmacist | 3616 Buechal By Pass, Louisville, Ky 40218, Louisville, KY 40218 | 2020-10-30 |
| 1992339345 | Rachael P. Abell | Nurse Practitioner | 2210 Buechel Avenue Suite 105, Louisville, KY 40218 | 2020-02-25 |
| 1750938189 | Taylor C Thomas | Nurse Practitioner | 4423 Bardstown Road, Louisville, KY 40218 | 2019-08-21 |
| 1902461692 | Louisville Injury Clinics, Inc | Chiropractor | 4400 Breckenridge Lane, Suite 102, Louisville, KY 40218 | 2019-05-08 |
| 1629564141 | Stepping Stones Counseling | Social Worker | 5414 Bannon Crossing Dr, Louisville, KY 40218 | 2018-07-09 |
| 1396230553 | Kids Without Limits LLC | Home Health | 2204 Bashford Manor Ln, Louisville, KY 40218 | 2018-06-28 |
| 1073008074 | B F P D | Ambulance | 4101 Bardstown Rd, Louisville, KY 40218 | 2018-06-22 |
| 1508358862 | Mary Katherine Biros | Nurse Practitioner | 2202 Buechel Ave Ste 105, Louisville, KY 40218 | 2018-06-03 |
| 1366931644 | Irena Kuca | Student in an Organized Health Care Education/Training Program | 215 Central Avenue Suite 100, Louisville, KY 40218 | 2018-05-02 |
| 1760979124 | Healthy Living Primary Care | General Practice | 4400 Breckenridge Ln Ste 147, Louisville, KY 40218 | 2018-04-20 |
| Find all providers in zip 40218 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023618535 | Pamela Nicole Kinney | Nurse Practitioner | 13503 Terrace Creek Dr Apt 203, Louisville, KY 40245-5838 | 2020-10-26 |
| 1457950883 | Tetteh Narteh | Nurse Practitioner | 10200 Linn Station Rd Ste 125, Louisville, KY 40223-3889 | 2020-10-16 |
| 1114525540 | Richard A Anane | Nurse Practitioner | 10200 Linn Station Rd Ste 300, Louisville, KY 40223-3841 | 2020-10-16 |
| 1427656081 | Elma Mustic | Nurse Practitioner | 9714 Boxford Way, Louisville, KY 40242-2305 | 2020-10-15 |
| 1679171318 | Cassandra Jane Lee | Nurse Practitioner | 3416 Imperator Ln Unit 103, Louisville, KY 40245-7752 | 2020-10-14 |
| 1942817762 | Merritt Borders | Nurse Practitioner | 1602 Hunnington Pl Apt 4, Louisville, KY 40220-3771 | 2020-09-25 |
| 1114533536 | Lyssa Alexandra Miller | Nurse Practitioner | 5120 Dixie Hwy Ste 101, Louisville, KY 40216-1775 | 2020-09-21 |
| 1174138713 | Paola Cristina Maldonado | Nurse Practitioner | 14719 Eddington Way Apt 304, Louisville, KY 40245-5581 | 2020-09-10 |
| 1033722525 | Bynisha Robertson | Nurse Practitioner | 5312 Sprigwood Ln, Louisville, KY 40291-1135 | 2020-08-25 |
| 1154931202 | Heather M Karem | Nurse Practitioner | 10207 Hartley Dr, Louisville, KY 40223-2735 | 2020-08-04 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40218 |
Please comment or provide details below to improve the information on TIFFANY MARIE GARDNER.
| 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.