KATIE LYNN GARDNER (NPI# 1255979910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255979910 |
| Entity Type | Individual |
| Full Name | KATIE LYNN GARDNER |
| Credential | CPHT |
| Practice Address |
840 Washington Ave Fairborn OH 45324-3840 |
| Practice Telephone | 7405066260 |
| Mailing Telephone | 7405066260 |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2019-12-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 183700000X | Pharmacy Technician | Pharmacy Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821549858 | Katie Gardner | Specialist/Technologist | 5851 W Moorestown Rd, Manton, MI 49663-9012 | 2016-10-14 |
| 1306217708 | Katie Gardner | Speech-Language Pathologist | 2105 5th Ave, #1308, Seattle, WA 98121-2932 | 2015-10-12 |
| 1336521194 | Katie Ellen Gardner | Internal Medicine | 2799 West Grand Blvd, Attention:l K17, Pulmonary and Critical Care Medicine, Detroit, MI 48202 | 2015-06-29 |
| 1912393182 | Katie L Gardner | Radiology | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2015-04-14 |
| 1417373671 | Katie Gardner | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2014-03-12 |
| 1982711388 | Katie N Gardner | Physician Assistant | 1500 E Medical Center Drive, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109-5301 | 2006-08-23 |
| Street Address |
840 WASHINGTON AVE |
| City | FAIRBORN |
| State | OH |
| Zip Code | 45324-3840 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023647591 | Michael Hubbell | Student in an Organized Health Care Education/Training Program | 2555 University Blvd., Fairborn, OH 45324 | 2020-04-06 |
| 1982243382 | Wickshire Fairborn Opco LLC | Assisted Living Facility | 2270 Park Hills Drive, Fairborn, OH 45324 | 2020-01-02 |
| 1104301654 | Sophia Alridge | Counselor | 594 East Dayton Yellow Springs Road, Fairborn, OH 45324 | 2018-10-01 |
| 1750863189 | Sydney Bowser | Behavior Technician | 1750 Commerce Center Blvd., Fairborn, OH 45324 | 2018-09-01 |
| 1710406798 | Chester Cashmir Torkornoo | Dentist | 3989 Colonel Glenn Hwy A, Fairborn, OH 45324 | 2017-09-11 |
| 1245772375 | Ranada LLC | Health Maintenance Organization | 17 Vanderbilt Drive Apt G, Fairborn, OH 45324 | 2016-11-07 |
| 1194277582 | Derrick Bark | Specialist/Technologist | 85 Old Yellow Springs Rd, Fairborn, OH 45324 | 2016-11-01 |
| 1326592635 | Sheena Elizabeth Geoghegan | Student in an Organized Health Care Education/Training Program | 725 Univerisity Blvd., Wright State Physicians, Fairborn, OH 45324 | 2016-08-04 |
| 1912360199 | Tarah Heath | Occupational Therapist | 2498 Dayton, Beavercreek, OH 45324 | 2016-04-04 |
| 1255706339 | Cierra Jackson | Counselor | 1560 Calder Ct, Fairborn, OH 45324 | 2015-12-01 |
| Find all providers in zip 45324 | ||||
| Taxonomy Code | 183700000X |
| Grouping | Pharmacy Service Providers |
| Classification | Pharmacy Technician |
| A person who works under the direct supervision of a licensed pharmacist and performs many pharmacy-related functions that do not require the professional judgment of a pharmacist. |
| Notes: Source: Pharmacy Technician Certification Board, www.ptcb.org [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912178153 | Carol Craig | Pharmacy Technician | 900 N Broad St, Fairborn, OH 45324-5247 | 2008-03-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770109241 | Jami Nell Dean | Pharmacy Technician | 4768 State Route 775, Proctorville, OH 45669-8900 | 2020-06-22 |
| 1063034031 | John Beba | Pharmacy Technician | 9211 Euclid Avenue, Cleveland, OH 44195-0001 | 2020-05-13 |
| 1972149151 | Krystal Dixon | Pharmacy Technician | 5569 Shady Oak St, Huber Heights, OH 45424-4266 | 2019-11-21 |
| 1558915959 | Kelly Przybysz | Pharmacy Technician | 3961 Dalling Dr, Northwood, OH 43619-2030 | 2019-07-25 |
| 1447728415 | Solutions Care Pharmacy | Pharmacy Technician | 3891-3893 Great Southern Court, Columbus, OH 43207-4003 | 2018-11-08 |
| 1801311022 | Greg Volmer | Pharmacy Technician | 3050 Mack Rd Ste 330, Fairfield, OH 45014-5381 | 2017-08-09 |
| 1942732649 | Teresa Vamos | Pharmacy Technician | 5318 Bennett Rd, Toledo, OH 43612-3404 | 2017-03-31 |
| 1154860922 | Stephan Hester | Pharmacy Technician | 707 11th St Nw, Canton, OH 44703-3326 | 2017-02-14 |
| 1679029417 | Heather Marlow | Pharmacy Technician | 5300 Executive Blvd, Huber Heights, OH 45424 | 2016-08-31 |
| 1942657135 | Marilyn Turner | Pharmacy Technician | 2991 St Rt 160, Gallipolis, OH 45631-8441 | 2016-05-18 |
| Find all providers with the same taxonomy | ||||
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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.