MS. JESSICA KRISTEN GARDNER (NPI# 1396388393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396388393 |
| Entity Type | Individual |
| Full Name | MS. JESSICA KRISTEN GARDNER |
| Credential | CPNP |
| Practice Address |
171 Ashley Ave Charleston SC 29425-8900 |
| Mailing Address |
Po Box 751461 Charlotte NC 28275-1461 |
| Practice Telephone | 8437921414 |
| Mailing Telephone | 8437926200 |
| Enumeration Date | 2019-10-22 |
| Last Update Date | 2020-01-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LP0200X |
Nurse Practitioner Specialization: Pediatrics |
23365 | SC | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821125378 | Jessica A Gardner | Specialist/Technologist | 11008 E 16th Ave, Spokane Valley, WA 99206-5694 | 2007-02-28 |
| 1699237248 | Jessica B Gardner | Student in an Organized Health Care Education/Training Program | 3333 Burnet Avenue, Mlc 5018, Cincinnati, OH 45229-3039 | 2019-04-03 |
| 1912461534 | Jessica Marie Gardner | Pharmacy Technician | 1114 Central Ave, Fort Dodge, IA 50501-4004 | 2019-01-28 |
| 1396209425 | Jessica Gardner | Dietitian, Registered | 11551 Forest Central Dr Ste 202, Dallas, TX 75243-3919 | 2019-01-23 |
| 1902372642 | Jessica Gardner | Behavior Technician | 1437 Denver Ave Ste 237, Loveland, CO 80538-5226 | 2018-10-20 |
| 1588155717 | Jessica Marie Gardner | Registered Nurse | 515 28 3/4 Rd, Grand Junction, CO 81501 | 2018-05-23 |
| 1659808178 | Jessica Desiree Gardner | Occupational Therapy Assistant | 2300 Coleman Rd, Anniston, AL 36207 | 2017-05-15 |
| 1720514409 | Jessica Gardner | Registered Nurse | 26 Bryant St, Dedham, MA 02026-4724 | 2017-05-02 |
| 1396162244 | Jessica Gardner | Nurse Practitioner | 1416 Metro Dr, Alexandria, LA 71301-3424 | 2014-03-27 |
| 1598189946 | Jessica Gardner | Counselor | 7165 Clearvista Way, Indianapolis, IN 46256-4621 | 2014-02-05 |
| Street Address |
171 ASHLEY AVE |
| City | CHARLESTON |
| State | SC |
| Zip Code | 29425-8900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942203922 | Nicholas J Pastis Jr. | Internal Medicine | 171 Ashley Ave, Charleston, SC 29425-8900 | 2005-05-24 |
| 1760083745 | Eleta Lazar Donelan | Physician Assistant | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-11-05 |
| 1285231340 | Bree Romecki | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-10-02 |
| 1942812078 | Warren Allen James | Student in an Organized Health Care Education/Training Program | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-19 |
| 1457962060 | Rosmary Ros-demarize | Psychologist | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-08-17 |
| 1558971390 | Auryelle Ascue | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-08-06 |
| 1396361994 | David Gonzalez | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8911 | 2020-06-19 |
| 1003432592 | Hannah Burrick | Audiologist | 171 Ashley Ave, Charleston, SC 29425-8903 | 2020-06-19 |
| 1528683562 | Kelsey Renee Full | Emergency Medicine | 171 Ashley Ave, Charleston, SC 29425-0100 | 2020-06-16 |
| 1861017949 | Christina Lee | Anesthesiology | 171 Ashley Ave, Charleston, SC 29425-8908 | 2020-06-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922607217 | Krishna Bhandari | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 10 Mcclennan Banks Drive, 2190-r, Msc 918, Charleston, SC 29425 | 2020-10-19 |
| 1649892456 | Mary Macrae Lynch | Social Worker | 179 Ashley Avenue, Charleston, SC 29425 | 2020-05-14 |
| 1528600053 | Amanda Watts | Physician Assistant | 135 Rutledge Ave. Msc 561, Charleston, SC 29425 | 2019-10-16 |
| 1851945497 | Kacy Wonder | Dentist | 173 Ashley Avenue Room 453 Msc 507, Charleston, SC 29425 | 2019-08-01 |
| 1477114569 | Justin Robert Silverman | Surgery | 169 Ashley Avenue, Room 202 Muh, Msc 333, Charleston, SC 29425 | 2019-06-28 |
| 1740840024 | Tyler Buckley | Surgery | 169 Ashley Ave, Room 202 Main Hospital, Msc333, Charleston, SC 29425 | 2019-06-18 |
| 1366001760 | Rayphael Sebastian Hardy | Internal Medicine | 169 Ashley Avenue Room 202 Main Hospital Msc333, Charleston, SC 29425 | 2019-06-10 |
| 1437718889 | Samar Medani | Internal Medicine | Division of Nephrology, Medical Univ of South Carolina, 96 Jonathan Lucas Street, Room 822, Msc 629, Charleston, SC 29425 | 2019-06-10 |
| 1427617950 | Emily Suzanne Nyers | Internal Medicine | 169 Ashley Ave., Room 202 Main Hospital, Msc 333, Charleston, SC 29425 | 2019-06-09 |
| 1790343564 | Alan Cowei Peh | Psychiatry & Neurology | 169 Ashley Avenue Rm 202, Main Hospital Msc 333, Charleston, SC 29425 | 2019-06-05 |
| Find all providers in zip 29425 | ||||
| Taxonomy Code | 363LP0200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912515511 | Naajah Hughes | Nurse Practitioner | 96 Jonathan Lucas Street Csb 428 Msc 608, Charleston, SC 29425-0001 | 2020-07-20 |
| 1528476793 | Kacie Owens | Nurse Practitioner | 830 Pennslyvania Avenue, Suite 103, Charleston, WV 25302-3389 | 2014-07-31 |
| 1124214895 | Elizabeth Zimmerman Thelan | Nurse Practitioner | 2051 Charlie Hall Blvd., Charleston, SC 29414 | 2007-09-17 |
| 1699305862 | Katherine Gannon Kiesel | Nurse Practitioner | 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2020-01-16 |
| 1255979738 | Gabrielle Amarante | Nurse Practitioner | 2067 Charlie Hall Blvd, Charleston, SC 29414-5834 | 2019-12-16 |
| 1114426814 | Erin Hill | Nurse Practitioner | 1871 Savage Rd, Charleston, SC 29407-4726 | 2018-02-08 |
| 1528566932 | Mckenzie Clark | Nurse Practitioner | 51 Nassau St, Charleston, SC 29403-5513 | 2018-01-31 |
| 1255842910 | Vanessa Lee Adams | Nurse Practitioner | 165 Ashley Ave, Charleston, SC 29425-8905 | 2017-10-20 |
| 1720524556 | Christine Lee Butler | Nurse Practitioner | 1941 Savage Rd Ste 100e, Charleston, SC 29407-4788 | 2017-01-18 |
| 1487197844 | Colleen Cusick Yazdi | Nurse Practitioner | 171 Ashley Ave, Charleston, SC 29425-8908 | 2016-12-02 |
| Find all providers in CHARLESTON | ||||
| City | CHARLESTON |
| Zip Code | 29425 |
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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.