JAQUITA Y GARDNER (NPI# 1134635469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134635469 |
| Entity Type | Individual |
| Full Name | JAQUITA Y GARDNER |
| Credential | APRN |
| Practice Address |
10901 E 48th St Tulsa OK 74146-5830 |
| Practice Telephone | 9187498765 |
| Practice Fax Number | 9183922155 |
| Mailing Telephone | 9187498765 |
| Mailing Fax Number | 9183922155 |
| Enumeration Date | 2017-12-22 |
| Last Update Date | 2017-12-22 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
R0080870 | OK | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
10901 E 48TH ST |
| City | TULSA |
| State | OK |
| Zip Code | 74146-5830 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013983741 | Kevin Joseph Gancarczyk | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2006-02-23 |
| 1326659368 | Allison Hagen | Nurse Practitioner | 10901 E 48th St, Tulsa, OK 74146-5830 | 2020-08-13 |
| 1346874799 | Angela Conrad | Nurse Practitioner | 10901 E 48th St, Tulsa, OK 74146-5830 | 2020-02-25 |
| 1184181026 | Lauren Ashley Deckelman | Physician Assistant | 10901 E 48th St, Tulsa, OK 74146-5830 | 2019-02-27 |
| 1457885543 | Tiffani S Hicks | Nurse Practitioner | 10901 E 48th St, Tulsa, OK 74146-5830 | 2017-04-14 |
| 1639610710 | Osu Center for Health Sciences | Clinic/Center | 10901 E 48th St, Tulsa, OK 74146-5830 | 2017-03-09 |
| 1972764496 | Shaun Gobind Singh Grewal | Surgery | 10901 E 48th St, Tulsa, OK 74146-5830 | 2008-06-18 |
| 1336347392 | Joshua Vicena | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2007-07-10 |
| 1194921486 | James B Mcgeady | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2007-06-22 |
| 1679694822 | Sean Michael Doyle | Urology | 10901 E 48th St, Tulsa, OK 74146-5830 | 2007-04-03 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922624550 | Sage Anesthesia Services Inc. | Nurse Anesthetist, Certified Registered | Union Pines Surgery Center, 4808 S 109th E Ave, Tulsa, OK 74146 | 2020-06-19 |
| 1811401631 | Fresenius Medical Care Tulsa, LLC | Clinic/Center | 5230 S Mingo Rd, Tulsa, OK 74146 | 2017-12-01 |
| 1184158404 | Alexis Lauren Allen | Case Manager/Care Coordinator | 9820 E 41st St #400, Tulsa, OK 74146 | 2017-04-13 |
| 1578995908 | Adrian Gheorghe Butuc | Massage Therapist | 5635 S Mingo #b, Tulsa, OK 74146 | 2013-08-08 |
| 1336587088 | Tulsa Cancer Institute, Pllc | Obstetrics & Gynecology | 12697 E. 51st St. South, Tulsa, OK 74146 | 2013-06-04 |
| 1265782338 | Milestones Pediatric Urgent Care | Pediatrics | 3863 South 103rd E Avenue, Tulsa, OK 74146 | 2012-09-14 |
| 1619232972 | Diagnostic Imaging Associates | General Acute Care Hospital | 4500 S Garnett Rd, Ste 300, Tulsa, OK 74146 | 2012-07-11 |
| 1790046654 | Aundra Lamar Fuller | Behavioral Analyst | 10922 E. 39th St., Tulsa, OK 74146 | 2012-06-06 |
| 1134492416 | Mark S Thomas Jr. | Behavioral Analyst | 10005 E 52nd Street, Tulsa, OK 74146 | 2012-02-16 |
| 1922307958 | Founders Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 5115 S. 122nd East Ave., Suite 204, Tulsa, OK 74146 | 2011-03-16 |
| Find all providers in zip 74146 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427577329 | Cheryl Lynn Quibell-wright | Clinical Nurse Specialist | 1265 S Utica Ave Ste 105, Tulsa, OK 74104-4243 | 2017-09-12 |
| 1184855389 | Caroline Powell Coussens | Clinical Nurse Specialist | 200 W 46th St N, Dream Center, Tulsa, OK 74126-6675 | 2009-08-05 |
| 1942479316 | Melanie Rene Mckinney | Clinical Nurse Specialist | 1923s Utica Ave, Tulsa, OK 74104-6520 | 2008-02-29 |
| 1558746958 | Abigail Elizabeth Ferrill | Clinical Nurse Specialist | 6161 S Yale Ave, Tulsa, OK 74136-1902 | 2015-07-27 |
| 1740605781 | Candis L Broadnax | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2014-02-27 |
| 1316181084 | Jill Denise Holleman | Clinical Nurse Specialist | 1923 S Utica Ave, Tulsa, OK 74104-6520 | 2009-04-26 |
| 1639390768 | Kami Opal Moore | Clinical Nurse Specialist | 1265 S Utica Ave, Suite 300, Tulsa, OK 74104-4243 | 2007-05-02 |
| 1649379603 | Nedena Ann Newman | Clinical Nurse Specialist | 6151 S Yale Ave, #400, Tulsa, OK 74136-1907 | 2006-09-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609393149 | Sarah Kathryn Walsh | Clinical Nurse Specialist | 825 N.e. 10th St Suite 2g, Oklahoma City, OK 73104 | 2017-08-25 |
| 1861845190 | Jamie Spence | Clinical Nurse Specialist | 731 12th Ave Nw Ste 302, Ardmore, OK 73401-5765 | 2016-07-21 |
| 1083257372 | Clarizza Carroll | Clinical Nurse Specialist | 304 Fairlane Ave, Sulphur, OK 73086-6861 | 2019-10-20 |
| 1720597974 | Comfort Olufunke Taiwo | Clinical Nurse Specialist | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2017-09-20 |
| 1518488592 | Meagan Marie Williams | Clinical Nurse Specialist | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2017-06-29 |
| 1639624612 | Deborah Wright | Clinical Nurse Specialist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2016-08-19 |
| 1992259303 | Alexis Stinnett | Clinical Nurse Specialist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2016-08-15 |
| 1073066023 | Michelle Tull | Clinical Nurse Specialist | 800 Ne 10th St, Oklahoma City, OK 73104-5418 | 2016-07-26 |
| 1295162519 | Jennifer Marie Riggs | Clinical Nurse Specialist | 5224 E I 240 Service Rd Fl 2, Oklahoma City, OK 73135-2607 | 2013-10-01 |
| 1992139224 | Mandy Marie Nelson | Clinical Nurse Specialist | 700 Ne 13th St, Oklahoma City, OK 73104-5004 | 2013-08-22 |
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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.