MINDI GARDNER (NPI# 1700861234) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700861234 |
| Entity Type | Individual |
| Full Name | MINDI GARDNER |
| Credential | CNP |
| Practice Address |
4600 Montgomery Rd Ste 105 Cincinnati OH 45212-2697 |
| Mailing Address |
10496 Montgomery Rd Ste 110 Cincinnati OH 45242-5223 |
| Practice Telephone | 5134875305 |
| Practice Fax Number | 5134875317 |
| Mailing Telephone | 5137917572 |
| Mailing Fax Number | 5137918240 |
| Enumeration Date | 2005-12-07 |
| Last Update Date | 2011-08-02 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LA2200X |
Nurse Practitioner Specialization: Adult Health |
07302-NP | OH | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AETNA | 7707682 | 01 | |
| OH | 2412008 | 05 | |
| IN | 200442150 | 05 | |
| ANTHEM BLUE SHIELD | 000000361570 | 01 | |
| KY | 78010089 | 05 |
| Street Address |
4600 MONTGOMERY RD STE 105 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45212-2697 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063600328 | Saud Butt | Internal Medicine | 4600 Montgomery Rd, Suite 105, Cincinnati, OH 45212-2697 | 2007-10-11 |
| 1306944871 | Kidney and Hypertension Center Inc | Nurse Practitioner | 4600 Montgomery Rd, Ste 105, Cincinnati, OH 45212-2697 | 2006-09-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013568930 | Kelly Diane Weber | Social Worker | Va Behavioral Health and Wellness Center, 4600 Smith Road, Norwood, OH 45212 | 2019-09-23 |
| 1629566039 | Jessica Lee Eckstein | Nurse Practitioner | 4805 Montgomery Rd Ste 154, Cincinnati, OH 45212 | 2018-05-01 |
| 1578092847 | Kerry Ellen Ragland | Counselor | 2300 Wall Street, Cincinnati, OH 45212 | 2017-06-08 |
| 1912256454 | Helen Virginia Blackshire | Occupational Therapy Assistant | 4750 Wesley Avenue Suite J, Cincinnati, OH 45212 | 2012-08-30 |
| 1902154933 | Shelby Davis Lewis | Social Worker | 4750 Wesley Avenue, Suite J, Cincinnati, OH 45212 | 2012-08-23 |
| 1366727133 | Kelly Gray | Pharmacist | 4605 Montgomery Road, Norwood, OH 45212 | 2011-10-12 |
| 1588981351 | Stephen M Zitelli | Family Medicine | 1775 Lexington Ave, Cincinnati, OH 45212 | 2010-05-03 |
| 1699952416 | David William Barr | Marriage & Family Therapist | 4301 Smith Road, Cincinnati, OH 45212 | 2008-01-23 |
| 1780704718 | Douglas A Dix | Dentist | 5451 Montgomery Road, Cincinnati, OH 45212 | 2007-03-31 |
| 1376615104 | Orthopedic Diagnostic & Treatment Ctr Inc | Orthopaedic Surgery | 4600 Smith Road, Suite B, Norwood, OH 45212 | 2006-11-15 |
| Find all providers in zip 45212 | ||||
| Taxonomy Code | 363LA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639543176 | Trihealth G LLC | Nurse Practitioner | 10498 Montgomery Rd Ste D, Cincinnati, OH 45242-4416 | 2015-11-20 |
| 1104255447 | Patricia Adkins | Nurse Practitioner | 344 Princess Ct, Cincinnati, OH 45215-1013 | 2013-11-07 |
| 1922449859 | Arianna N Warfel | Nurse Practitioner | 4750 E Galbraith Rd Ste 210, Cincinnati, OH 45236-6705 | 2013-07-08 |
| 1881931764 | Mary Kay Barth | Nurse Practitioner | 5719 Kiplingwood Dr, Cincinnati, OH 45239-6609 | 2013-01-11 |
| 1215245147 | Alexis Santee Ranalli | Nurse Practitioner | 10525 Montgomery Rd., Cincinnati, OH 45242-4401 | 2010-09-14 |
| 1801929559 | Anna Maria Fox | Nurse Practitioner | 2123 Auburn Ave Ste 440, Cincinnati, OH 45219 | 2007-03-13 |
| 1346377835 | Mary Catherine Brady | Nurse Practitioner | 430 Deanview Dr, Cincinnati, OH 45224-1415 | 2007-02-28 |
| 1376603886 | Planned Parenthood Southwest Ohio Region | Nurse Practitioner | 2314 Auburn Avenue, Cincinnati, OH 45219 | 2006-12-12 |
| 1619958436 | Pamela Phares | Nurse Practitioner | 1401 Steffen Ave, Cincinnati, OH 45215-2338 | 2005-11-09 |
| 1548263239 | Gina Marie Hissong | Nurse Practitioner | 4460 Red Bank Expressway, Suite 110, Cincinnati, OH 45227-2173 | 2005-05-27 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45212 |
Please comment or provide details below to improve the information on MINDI 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.