MS. JUDY CARMEN GARDNER (NPI# 1386758894) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386758894 |
| Entity Type | Individual |
| Full Name | MS. JUDY CARMEN GARDNER |
| Credential | CNS |
| Practice Address |
150 Muir Road Northern California Health Care System Martinez CA 94553 |
| Mailing Address |
443 Verona Ave Danville CA 94526-2411 |
| Practice Telephone | 9253722000 |
| Practice Fax Number | 9253722830 |
| Mailing Telephone | 9258385492 |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 163WP0809X |
Registered Nurse Specialization: Psych/Mental Health, Adult |
239080 | CA | Nursing Service Providers |
| X | 364SP0809X |
Clinical Nurse Specialist Specialization: Psych/Mental Health, Adult |
CERTIFICATE #16 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972839587 | Judy K. Gardner | Counselor | 656 Se Bayberry Ln, Suite 105, Lees Summit, MO 64063-4300 | 2009-11-02 |
| 1861563314 | Judy K Gardner | Marriage & Family Therapist | 1500 Main St, Sand Corporation, Hartford, CT 06120-2713 | 2006-11-13 |
| 1659391357 | Judy Lynn Gardner | Pharmacist | 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342-1606 | 2006-07-19 |
| Street Address |
150 MUIR ROAD NORTHERN CALIFORNIA HEALTH CARE SYSTEM |
| City | MARTINEZ |
| State | CA |
| Zip Code | 94553 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598749947 | Bruce Richards Reed | Clinical Neuropsychologist | 150 Muir Road, Uc Davis Adc (127a)150 Muir Road (127a), Martinez, CA 94553 | 2005-11-30 |
| 1235685058 | Marianne Rene Bunce-houston | Registered Nurse | 150 Muir Road, Va Northern California Health Care System, Martinez, CA 94553 | 2016-08-31 |
| 1346695277 | Tracy Hsu | Pharmacist | 150 Muir Road, Martinez, CA 94553 | 2016-04-28 |
| 1588083315 | Rachel Agron | Speech-Language Pathologist | 150 Muir Road, Martinez, CA 94553 | 2014-04-09 |
| 1730274820 | Department of Veterans Affairs | Clinic/Center | 150 Muir Road, Martinez, CA 94553 | 2006-10-04 |
| 1376641043 | Haeseon S Eom | Pharmacist | 150 Muir Road, Martinez, CA 94553 | 2006-09-20 |
| 1710914866 | Allen Daniel Mclean | Plastic Surgery | 150 Muir Road, C Va Northern California Health Care System, Martinez, CA 94553 | 2006-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043838709 | Melissa A Eaton | Health Educator | 200 Muir Rd., Attn Health Education Department, 3rd Floor, Ensenada Building, Martinez, CA 94553 | 2020-07-09 |
| 1427671965 | Kamri Elizabeth Hunt | Behavior Technician | 1220 Arnold Dr, Martinez, CA 94553 | 2020-05-19 |
| 1134741671 | Alex Rodriguez | Social Worker | 150 Nuir Road, Martinez, CA 94553 | 2020-05-07 |
| 1316405632 | Melissa Janine London | Psychologist | 150 Muir Road (116b), Martinez, CA 94553 | 2019-03-05 |
| 1942791025 | Morganne Elizabeth Lasley Juelich | Behavioral Analyst | 940 Lemon St, Martinez, CA 94553 | 2018-05-23 |
| 1457882243 | Ut Nguyen | Pharmacist | 400 Muir Rd, Martinez, CA 94553 | 2017-03-23 |
| 1346771144 | Irene Kuo | Pharmacist | 400 Muir Road, Martinez, CA 94553 | 2017-03-23 |
| 1407209802 | Gabrielle B De Los Reyes | Dentist | 1124 Arnold Drive #100, Martinez, CA 94553 | 2016-07-20 |
| 1619334745 | Randal Du | Pharmacist | 200 Muir Rd, Hacienda Bldg, Rm H1b18, Martinez, CA 94553 | 2016-01-20 |
| 1417329947 | Suja Samuel | Registered Nurse | 597 Center Avenue, Suite 200-a, Martinez, CA 94553 | 2015-10-23 |
| Find all providers in zip 94553 | ||||
| Taxonomy Code | 163WP0809X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Psych/Mental Health, Adult |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396390530 | Trisha Lynne Basman | Registered Nurse | 939 Snow Dr, Martinez, CA 94553-4715 | 2019-08-05 |
| 1568896454 | Kimberly Nicole Lewis | Registered Nurse | 1330 Arnold Dr Ste 143, Martinez, CA 94553-6538 | 2013-08-27 |
| 1144406208 | Cynthia Lou Cook | Registered Nurse | 1340 Arnold Dr, Martinez, CA 94553-4189 | 2008-01-18 |
| 1821130170 | Carol Anne Mott | Registered Nurse | 1340 Arnold Dr, Suite 200, Martinez, CA 94553-4189 | 2007-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033739677 | Tiffany Venice Turner | Registered Nurse | 2085 Rustin Ave Bldg 5, Riverside, CA 92507-2498 | 2020-04-23 |
| 1073144549 | Cedelia Untalan Cardenas | Registered Nurse | 17053 Foothill Blvd Bldg N, Fontana, CA 92335-3574 | 2020-02-03 |
| 1689204265 | Juvelyn Isip Ingal | Registered Nurse | 3853 Rosecrans St # Ca92110, San Diego, CA 92110-3115 | 2020-01-22 |
| 1043859531 | Klair Grace | Registered Nurse | 6460 Convoy Ct Spc 115, San Diego, CA 92117-2314 | 2019-12-31 |
| 1316588395 | Batoul Salameh | Registered Nurse | 19204 Bension Dr, Santa Clarita, CA 91350-3797 | 2019-10-01 |
| 1851949580 | Michael Perez | Registered Nurse | 25727 Mcbean Pkwy, Valencia, CA 91355-3704 | 2019-08-27 |
| 1982259792 | Beverly Austin Mccabe | Registered Nurse | 1720 E. Cesar Chavez Ave., Los Angeles, CA 90033 | 2019-08-08 |
| 1003378043 | Ildefonso Silva Rodriguez | Registered Nurse | 2437 Woodcreek Rd, Camarillo, CA 93012-2537 | 2019-04-01 |
| 1518430842 | Jesus Lim | Registered Nurse | 695 Sea Vale St Unit 202, Chula Vista, CA 91910-1242 | 2019-01-09 |
| 1831661925 | Rebekah Adkisson | Registered Nurse | 1205 E Mardell Ave, Orange, CA 92866-2828 | 2018-12-30 |
| 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.