STEPHANIE GARDNER (NPI# 1407271620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407271620 |
| Entity Type | Individual |
| Full Name | STEPHANIE GARDNER |
| Practice Address |
51522 Annie Ave Pleasant Valley NY 12569 UM |
| Mailing Address |
51522 Annie Ave Pleasant Valley NY 12569-7973 |
| Practice Telephone | 8455462241 |
| Mailing Telephone | 8455462241 |
| Enumeration Date | 2014-02-25 |
| Last Update Date | 2014-02-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 164W00000X | Licensed Practical Nurse | 315753 | NY | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528696697 | Stephanie Gardner | Speech-Language Pathologist | 16 Pleasant Point Rd, Branford, CT 06405-5602 | 2020-04-01 |
| 1538480777 | Stephanie M Gardner | Emergency Medicine | 5262 Carrollton Ave, Indianapolis, IN 46220-3181 | 2010-06-22 |
| 1730704008 | Stephanie Gardner | Speech-Language Pathologist | 901 Macarthur Blvd, Munster, IN 46321-2901 | 2020-06-12 |
| 1902437122 | Stephanie M Gardner | Behavioral Analyst | 1256 Marlkress Rd, Cherry Hill, NJ 08003-2626 | 2020-01-27 |
| 1962976621 | Stephanie Lynn Gardner | Case Manager/Care Coordinator | 143 Gougler Ave, Kent, OH 44240-2401 | 2019-01-16 |
| 1568986644 | Stephanie Gardner | Counselor | Po Box 979, Prentiss, MS 39474-0979 | 2017-07-31 |
| 1548794936 | Stephanie Sullivan Gardner | Student in an Organized Health Care Education/Training Program | 6565 Fannin St, Houston, TX 77030-2703 | 2017-04-12 |
| 1740632538 | Stephanie Gardner | Nurse Practitioner | 315 Mulberry St, Evansville, IN 47713 | 2016-07-06 |
| 1124496401 | Stephanie Gardner | Counselor | 850 Mill St, Reno, NV 89502 | 2015-09-03 |
| 1720488919 | Stephanie L Gardner | Social Worker | 1384 W State Rd, Pleasant Grove, UT 84062-4130 | 2014-08-26 |
| Street Address |
51522 ANNIE AVE |
| City | PLEASANT VALLEY |
| State | NY |
| Zip Code | 12569 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881106383 | Susan Tooker | Nurse Practitioner | 53 Wigsten Rd, Pleasant Valley, NY 12569 | 2017-10-25 |
| 1679949168 | Susan Deman | Registered Nurse | 5 Ridgeview Lane, Pleasant Valley, NY 12569 | 2015-08-19 |
| 1962740092 | Malcolm Gilbert Idelson | Obstetrics & Gynecology | 30 Pond Hills Court, Pleasant Valley, NY 12569 | 2013-01-24 |
| 1740557966 | Marie Anne Berberich | Registered Nurse | 11 Walnut Road, Hickory Hill Estates, Pleasant Valley, NY 12569 | 2011-11-17 |
| 1841575719 | Dawn Stoll | Occupational Therapy Assistant | 13 Downing Road, Pleasant Valley, NY 12569 | 2011-10-11 |
| 1720256860 | Jamie Leigh Beringer Gates | Licensed Practical Nurse | 2161 Route 44, Pleasant Valley, NY 12569 | 2008-02-12 |
| 1619173978 | Anthony Charles Colarusso | Dentist | 1577 Main Street, Pleasant Valley, NY 12569 | 2007-06-25 |
| 1477616316 | Dipti Harish Patel | Dentist | 1363 Route 9g, Hyde Park, NY 12569 | 2006-12-19 |
| 1730240532 | Joseph Detullio | Chiropractor | Rt 44 and North Ave, Pleasant Valley, NY 12569 | 2006-12-13 |
| 1831259894 | The Great Atlantic and Pacific Tea Company Inc | Durable Medical Equipment & Medical Supplies | 13 North Ave, Pleasant Valley, NY 12569 | 2006-12-11 |
| Find all providers in zip 12569 | ||||
| Taxonomy Code | 164W00000X |
| Grouping | Nursing Service Providers |
| Classification | Licensed Practical Nurse |
| An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states. |
| Notes: Source: Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689132896 | Geisha Alomar | Licensed Practical Nurse | 13314 Brookside Rd, Pleasant Valley, NY 12569-7981 | 2019-03-06 |
| 1831679398 | Elyse Robles | Licensed Practical Nurse | 13 Park Dr Apt 101, Pleasant Valley, NY 12569-6059 | 2018-08-15 |
| 1902213838 | Carolyn Razak | Licensed Practical Nurse | 37 Shady Creek Rd, Pleasant Valley, NY 12569-7800 | 2014-07-11 |
| 1407271075 | Kymouye Jourdeane Williams | Licensed Practical Nurse | 14 Arbor Hill Dr Apt 19, Pleasant Valley, NY 12569-5639 | 2014-02-19 |
| 1154606135 | Rachelle Cherie Jennings | Licensed Practical Nurse | 220 West Rd, Apt 15, Pleasant Valley, NY 12569-5718 | 2011-10-20 |
| 1053628008 | Jill M Foster | Licensed Practical Nurse | 27 Park Drive, Apt 103, Pleasant Valley, NY 12569-5304 | 2010-09-10 |
| 1710132071 | Jennifer Mazzetti | Licensed Practical Nurse | 2 Wilbur Rd, Pleasant Valley, NY 12569-7806 | 2008-11-28 |
| 1720256860 | Jamie Leigh Beringer Gates | Licensed Practical Nurse | 2161 Route 44, Pleasant Valley, NY 12569 | 2008-02-12 |
| 1831239151 | Deborah Kay Sherman | Licensed Practical Nurse | 1381 Route 44, Pleasant Valley, NY 12569-7828 | 2007-02-07 |
| 1992218283 | Candice Brianna Haight | Licensed Practical Nurse | 16 Meadow Ln, Pleasant Valley, NY 12569-7038 | 2017-11-09 |
| Find all providers in PLEASANT VALLEY | ||||
| City | PLEASANT VALLEY |
| Zip Code | 12569 |
Please comment or provide details below to improve the information on STEPHANIE 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.