MS. LAURA DEVEREAUX GARDNER (NPI# 1346801164) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346801164 |
| Entity Type | Individual |
| Full Name | MS. LAURA DEVEREAUX GARDNER |
| Credential | PA |
| Practice Address |
14 Edgewood Dr Greenville SC 29605-4246 |
| Mailing Address |
101 Gregor Mendel Cir Greenwood SC 29646-2316 |
| Practice Telephone | 8646787886 |
| Mailing Telephone | 8649418100 |
| Mailing Fax Number | 8643881052 |
| Enumeration Date | 2019-06-24 |
| Last Update Date | 2020-02-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
3247 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063800373 | Laura Beth Gardner | Registered Nurse | 7435 Sw 49th Ct, Portland, OR 97219-1493 | 2015-01-08 |
| 1881678209 | Laura Jones Gardner | Social Worker | 200 Country Club Dr Sw, Suite D-2, Blacksburg, VA 24060-5400 | 2005-11-30 |
| 1700449352 | Laura J. Gardner | Student in an Organized Health Care Education/Training Program | 101 W 8th Ave, Spokane, WA 99204-2307 | 2019-04-18 |
| 1932692027 | Laura Albachiara Gardner | Occupational Therapist | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2018-06-13 |
| 1992162408 | Laura Gardner | Social Worker | 212 Barney Dr, Joliet, IL 60435-5271 | 2016-01-28 |
| 1164810859 | Laura Michele Gardner | Marriage & Family Therapist | 1240 Powell St, Suite 2c, Emeryville, CA 94608-2600 | 2015-01-02 |
| 1639500978 | Laura Gardner | Advanced Practice Midwife | 7900 Henneman Way, Suite 100, Mckinney, TX 75070-2914 | 2013-12-12 |
| 1417219841 | Laura Mabe Gardner | Anesthesiology | 3000 New Bern Ave, Raleigh, NC 27610-1231 | 2012-06-12 |
| 1851667588 | Laura Gardner | Counselor | 1735 Enterprise Dr, Fairfield, CA 94533-6822 | 2012-03-27 |
| 1912295932 | Laura Elizabeth Gardner | Psychiatry & Neurology | 111 E 210th St, Bronx, NY 10467-2401 | 2011-07-11 |
| Street Address |
14 EDGEWOOD DR |
| City | GREENVILLE |
| State | SC |
| Zip Code | 29605-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382642 | Joseph S Geer Jr. | Medical Genetics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2005-11-02 |
| 1336770346 | Camerun Christopher Washington | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2020-01-29 |
| 1417415928 | Laura Beamer | Psychologist | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2019-03-05 |
| 1699253294 | Gregory Smith | Nurse Practitioner | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2018-08-06 |
| 1659865426 | Julia Ann Russo | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2018-06-15 |
| 1720507478 | Anna Childers | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2017-09-13 |
| 1184171548 | Elizabeth Francisco | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605 | 2016-09-02 |
| 1386084929 | Jessica Davis | Genetic Counselor, MS | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2013-06-27 |
| 1477872810 | Caroline Black Buchanan | Pediatrics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2010-05-25 |
| 1831318856 | Greenwood Genetics Center, Inc. | Pediatrics | 14 Edgewood Dr, Greenville, SC 29605-4246 | 2007-04-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205306099 | Prisma Health University Medical Group | Family Medicine | 110 Osage Drive, Greenville, SC 29605 | 2018-12-05 |
| 1306325626 | Lauren Foster Fiscus | Occupational Therapist | 1900 Augusta Street, Suite 2500, Greenville, SC 29605 | 2018-08-08 |
| 1063914372 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 1720 Augusta St, Greenville, SC 29605 | 2018-03-02 |
| 1144748385 | Johanna Ruth Henry | Speech-Language Pathologist | 1900 Augusta St., Suite 2500, Greenville, SC 29605 | 2017-09-08 |
| 1477083483 | Alexis Dean Pedigo | Speech-Language Pathologist | 1900 Augusta St, Suite 2500, Greenville, SC 29605 | 2017-06-13 |
| 1134658420 | Trace Christopher Deighan | Obstetrics & Gynecology | 890 West Faris Road, Suite 470, Greenville, SC 29605 | 2017-06-08 |
| 1023569837 | Blessed With Goodness, LLC | In Home Supportive Care | 716 E. Fairfield Road, Unit 120 (mailbox # 14), Greenville, SC 29605 | 2016-10-17 |
| 1972050953 | Suha Umina | Pharmacist | 975 W. Faris Road, Greenville, SC 29605 | 2016-09-07 |
| 1124470976 | Meredith Laine Cavagrotti | Specialist/Technologist | 700 Grove Rd, Greenville, SC 29605 | 2016-07-05 |
| 1205286895 | Med-trans Corporation | Ambulance | 552 Perimeter Rd, Greenville, SC 29605 | 2016-06-15 |
| Find all providers in zip 29605 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104116664 | Jennifer C Whitmire | Physician Assistant | St Francis Cardiovascular, 317 St. Francis Dr. Ste 120, Greenville, SC 29601-3900 | 2011-04-18 |
| 1306143219 | Alexis Pierino Goss | Physician Assistant | 101 Heart Drive Mailstop 654, Ecu Physicians Family Medicine, Greenville, NC 27834-4300 | 2011-02-13 |
| 1477888196 | Johnny Johnson | Physician Assistant | 4211 Joe Ramsey Blvd, Suite 100, Greenville, TX 75401 | 2009-10-14 |
| 1205915360 | Dannie Burton Jonas | Physician Assistant | 505 Greenville Blvd Se, Greenville, NC 27858-6736 | 2006-11-02 |
| 1952324246 | Toni Smith-whiteeagle | Physician Assistant | 5005 Live Oak St, Greenville, TX 75402 | 2006-07-26 |
| 1699719682 | Gary Marc Trube | Physician Assistant | 800 Moye Blvd, Greenville, NC 27834-3777 | 2006-06-16 |
| 1255384335 | Dean A Schrader | Physician Assistant | 8333 Crestview Dr, Greenville, MI 48838-8133 | 2006-05-18 |
| 1043262983 | Katherine Johnson Anderson | Physician Assistant | 215 Halton Rd, Greenville, SC 29607-3509 | 2006-05-17 |
| 1891767398 | Allen J Sours Jr. | Physician Assistant | Physician's Prime Care, 3535 S. Memorial Dr. Suite C, Greenville, NC 27834-6766 | 2006-02-07 |
| 1053383273 | Zenith Nelson | Physician Assistant | Leo Jenkins Cancer Center, 600 Moye Blvd, Greenville, NC 27858 | 2006-02-02 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 29605 |
Please comment or provide details below to improve the information on MS. LAURA DEVEREAUX 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.