KYLE GARDNER (NPI# 1528625407) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528625407 |
| Entity Type | Individual |
| Full Name | KYLE GARDNER |
| Credential | DC |
| Practice Address |
4316 James Casey St Austin TX 78745-1116 |
| Practice Telephone | 5124422727 |
| Practice Fax Number | 5124422728 |
| Mailing Telephone | 5124422727 |
| Mailing Fax Number | 5124422728 |
| Enumeration Date | 2019-05-25 |
| Last Update Date | 2020-02-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 14129 | TX | Chiropractic Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LICENSE | 14129 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023417151 | Kyle Gardner | Pharmacist | 2500 North Highway 171, Lake Charles, LA 70601 | 2014-08-14 |
| 1013187525 | Kyle Andrews Gardner | Emergency Medicine | 5171 S Cottonwood St Ste 740, Murray, UT 84107-5705 | 2008-03-11 |
| 1982957957 | Kyle Gardner | Speech-Language Pathologist | 2635 N 7th St, Grand Junction, CO 81501-8209 | 2012-10-16 |
| 1922123678 | Kyle Gardner | Case Manager/Care Coordinator | 2707 Browns Ln, Jonesboro, AR 72401-7213 | 2007-03-20 |
| Street Address |
4316 JAMES CASEY ST |
| City | AUSTIN |
| State | TX |
| Zip Code | 78745-1116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194721829 | Jeffrey W Fluitt | Chiropractor | 4316 James Casey St, Bldg B, Suite 201, Austin, TX 78745-1116 | 2005-06-27 |
| 1558823591 | Madison Casper | Physician Assistant | 4316 James Casey St, Austin, TX 78745-1116 | 2019-04-01 |
| 1164909529 | Dipti Ashmita Schraegle | Clinical Nurse Specialist | 4316 James Casey St, Austin, TX 78745-1116 | 2018-07-27 |
| 1003329236 | Jessica Anne Brown | Nurse Practitioner | 4316 James Casey St, Austin, TX 78745-1116 | 2017-11-09 |
| 1093174278 | Jordan E Waldron | Physician Assistant | 4316 James Casey St, Bldg B Ste 201, Austin, TX 78745-7874 | 2016-02-17 |
| 1184097982 | Imaging Partners of Austin LLC | Clinic/Center | 4316 James Casey St, F-110b, Austin, TX 78745-1116 | 2015-11-03 |
| 1205203346 | Imaging Partners of Austin LLC | Clinic/Center | 4316 James Casey St, Suite F110-b, Austin, TX 78745-1116 | 2015-08-24 |
| 1235514704 | Central Texas Pain Center North, Pllc | Pain Medicine | 4316 James Casey St, Bldg B, Suite 200, Austin, TX 78745-1116 | 2015-07-27 |
| 1346624202 | Liberty Labs LLC | Clinical Medical Laboratory | 4316 James Casey St, Building F, Austin, TX 78745-1116 | 2015-07-10 |
| 1376935031 | Btdi Jv, LLP | Physiological Laboratory | 4316 James Casey St, Suite E-1, Austin, TX 78745-1116 | 2015-03-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617511 | Samantha Lynne Weston | Speech-Language Pathologist | 8515 Brodie Lane, Apt 2011, Austin, TX 78745 | 2020-10-26 |
| 1275172686 | Nithphaphone Tracy Bounsing | Registered Nurse | 4316 James Casey St, Building F, Suite 201, Austin, TX 78745 | 2020-01-02 |
| 1225685712 | Integrative Medical Group of Texas | General Practice | 6905 West Gate Blvd. Ste A, Austin, TX 78745 | 2019-08-20 |
| 1962971499 | Kimberly Angela Mancini | Social Worker | 5015 South Ih 35 Frontage Road, Austin, TX 78745 | 2018-11-14 |
| 1093223885 | Emma Rose Marek | Speech-Language Pathologist | 2700 Norfolk Drive, Austin, TX 78745 | 2018-01-16 |
| 1528586690 | Ashley Ellison | Social Worker | 4201 South Congress, Austin, TX 78745 | 2017-09-08 |
| 1134666761 | Carey Sebera | Counselor | 2812 Goldbridge Dr, Austin, TX 78745 | 2017-01-20 |
| 1932644507 | Maya Conlon | Social Worker | 2501 W. William Cannon Dr., Bldg 6 Ste. A, Austin, TX 78745 | 2017-01-05 |
| 1285189134 | 512 Physical Therapy and Golf Performance Center | Physical Therapist | 6800 Westgate Blvd, Suite 117, Austin, TX 78745 | 2016-08-22 |
| 1326401803 | Chris Winkley | Physical Therapist | 5510 S Ih 35 Frontage Rd #240, Austin, TX 78745 | 2016-04-01 |
| Find all providers in zip 78745 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194326546 | Haydn Storey | Chiropractor | 1807 W Slaughter Ln Ste 450, Austin, TX 78748-6269 | 2020-11-03 |
| 1336748797 | Zachary James Foreman | Chiropractor | 7900 Fm 1826 Ste 100, Austin, TX 78737-1410 | 2020-10-18 |
| 1497371827 | Abbie Lynn Hunt | Chiropractor | 820 Camino Vaquero Pkwy Apt 10106, Austin, TX 78748-3320 | 2020-06-22 |
| 1982237814 | Jared Covarrubias | Chiropractor | 4500 Steiner Ranch Blvd Apt 910, Austin, TX 78732-2313 | 2020-02-19 |
| 1396375606 | Brandon Ramakko | Chiropractor | 827 W 12th St Ste 2, Austin, TX 78701-1701 | 2020-01-26 |
| 1356980296 | Kristin Nicole Paouncic | Chiropractor | 1300 E Riverside Dr Apt D612, Austin, TX 78741-1215 | 2019-12-23 |
| 1962059576 | Gray Ellison Humphries | Chiropractor | 11800 N Interstate 35, Austin, TX 78753-2211 | 2019-08-20 |
| 1659937340 | Vinh Doan | Chiropractor | 12343 Hymeadow Dr Ste 2j, Austin, TX 78750-1830 | 2019-05-17 |
| 1689239212 | Shawn K Small | Chiropractor | 500 N Capital of Texas Hwy Bldg 125, Austin, TX 78746-3359 | 2019-05-09 |
| 1912464082 | Alexis Maire Dobson | Chiropractor | 4419 Frontier Trl Ste 106, Austin, TX 78745-1567 | 2019-02-25 |
| Find all providers in AUSTIN | ||||
Please comment or provide details below to improve the information on KYLE 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.