KELSI MARIE GARDNER


Address: 3215 N. North Hills Blvd., Fayetteville, AR 72703
Phone: 4794637102

KELSI MARIE GARDNER (NPI# 1194182832) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194182832
Entity Type Individual
Full Name KELSI MARIE GARDNER
Other Name KELSI TODD
Credential PA
Practice Address 3215 N. North Hills Blvd.
Fayetteville
AR 72703
Mailing Address Po Box 550
Lowell
AR 72745
Practice Telephone 4794637102
Practice Fax Number 4794637864
Mailing Telephone 4794637775
Mailing Fax Number 4794637187
Enumeration Date 2016-01-26
Last Update Date 2018-04-11
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363A00000X Physician Assistant PA-658 AR Physician Assistants & Advanced Practice Nursing Providers

Office Location

Street Address 3215 N. NORTH HILLS BLVD.
City FAYETTEVILLE
State AR
Zip Code 72703

Providers in the same location

NPI Name Taxonomy Address Enumeration
1083604425 Barbara Ashe Emergency Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 2005-10-26
1720473853 Matthew H Marks Emergency Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703 2015-04-06
1275941312 Katelyn M Bakunas Physician Assistant 3215 N. North Hills Blvd., Fayetteville, AR 72703 2014-07-31
1841581980 Davis Duong Emergency Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703 2011-04-24
1962727016 Stephanie Michelle Pereira Emergency Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703 2010-04-01
1235369497 Jonna M. Dyer Hospitalist 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 2009-07-22
1366698862 Hugh B. Higginbotham Internal Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703 2008-08-15
1558529347 Travis Knox Mcclure Family Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 2008-05-28
1497923445 Kathlyn R. Cook Family Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 2008-02-12
1952504193 Suzanna E Wooden Internal Medicine 3215 N. North Hills Blvd., Fayetteville, AR 72703-4424 2007-06-06
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 363A00000X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant

Taxonomy Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306443387 Melissa Macneil Spencer Physician Assistant 810 Knighthood Cir, Fayetteville, NY 13066-8721 2020-10-03
1366067548 Prathna Raval Physician Assistant 6808 Thames Dr, Fayetteville, NC 28306-2524 2020-06-12
1205465895 Gillian Vaughan Heard Physician Assistant 1275 Ga-54 #201, Fayetteville, GA 30214 2020-04-06
1144858515 Mackenzie Anna Kirchner Physician Assistant 568 Sandy Creek Rd, Fayetteville, GA 30214-4205 2020-03-31
1770116931 Chasity Nicole Sullivan Physician Assistant 202b Highland Ave, Fayetteville, NC 28305-5308 2020-02-17
1740812833 Madeline Everitt Monday Physician Assistant 705 Stonington Dr, Fayetteville, NC 28311-0329 2020-02-07
1396375325 Lisa Ann Gross Physician Assistant 3007 Town Center Dr Ste 100, Fayetteville, NC 28306-3663 2020-01-17
1811536048 Kelly Hamilton Sweatt Physician Assistant 1991 Fordham Dr Ste 200, Fayetteville, NC 28304-3774 2020-01-06
1922563667 Reandy Nicole Hearn Physician Assistant 2911 Breezewood Ave Ste 100, Fayetteville, NC 28303-5464 2019-02-06
1790259430 Cassandra Ann Nebosky-diaz Physician Assistant 659 Daharan Dr, Fayetteville, NC 28314-6538 2019-01-16
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

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.

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