KRISTIN PATRICE GARDNER


Address: 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709
Phone: 3864254000

KRISTIN PATRICE GARDNER (NPI# 1619512282) 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) 1619512282
Entity Type Individual
Full Name KRISTIN PATRICE GARDNER
Credential ARNP
Practice Address 303 N Clyde Morris Blvd
Daytona Beach
FL 32114-2709
Mailing Address 1021 Herbert St
Port Orange
FL 32129-4142
Practice Telephone 3864254000
Mailing Telephone 3863168731
Enumeration Date 2019-11-07
Last Update Date 2019-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP0200X Nurse Practitioner
Specialization: Pediatrics
11003827 FL Physician Assistants & Advanced Practice Nursing Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1021 Herbert St, Port Orange, FL 321294142 3863168731

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1144684580 Kristin M Gardner Registered Nurse 10 N Main St, Bristol, CT 06010-8122 2016-04-12
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1457571036 Kristin Gardner Physical Therapy Assistant 246 Pleasant St, Suite 104, Concord, NH 03301-2548 2007-04-26

Office Location

Street Address 303 N CLYDE MORRIS BLVD
City DAYTONA BEACH
State FL
Zip Code 32114-2709

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811991227 Halifax Hospital Medical Center Case Management 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2005-06-13
1447860374 Priscilla Selig Nurse Practitioner 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2020-08-05
1770123820 Jane Hollis Nurse Practitioner 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2020-01-07
1447804364 Brenda Martin Cohen Nurse Practitioner 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2019-07-29
1285296574 Cassie C Norris Nurse Practitioner 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2019-07-08
1063077667 Jara Apperley Physician Assistant 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2019-05-08
1972068153 Sreyboth Sreng Nurse Practitioner 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2019-02-01
1356811244 Matthew Evans Nurse Anesthetist, Certified Registered 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2018-12-04
1932679503 Amanda Gonzalez Nurse Anesthetist, Certified Registered 303 N Clyde Morris Blvd, Daytona Beach, FL 32114 2018-11-27
1760950026 Philip Nathanael Augustin Nurse Anesthetist, Certified Registered 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2018-11-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1376161380 Evolution Health & Performance LLC Physician Assistant 244 S. Palmetto Ave, Daytona Beach, FL 32114 2020-07-07
1407480189 Kierra Imani Kinsey Behavior Technician 1128-a Beville Rd, Daytona Beach, FL 32114 2020-03-02
1043776057 Outreach Community Care Network Inc Pharmacy 240 N. Frederick Avenue, Daytona Beach, FL 32114 2019-02-14
1033681861 Katherine Proppe Specialist/Technologist 1 Aerospace Blvd, Daytona Beach, FL 32114 2018-12-18
1841765047 Anna L Smith Nurse Practitioner 339 Bill France Blvd Ste C, Daytona Beach, FL 32114 2018-10-04
1154806933 Steve Anthony Lee Family Medicine 731 N. Clyde Morris Blvd, Daytona Beach, FL 32114 2018-09-27
1285116491 Walgreen Co Durable Medical Equipment & Medical Supplies 1348 W International Speedway Blvd Ste 2, Daytona Beach, FL 32114 2018-09-04
1770085656 Merina Lee Occupational Therapist 1159 Australia Ave., Daytona Beach, FL 32114 2018-03-06
1346752755 Hand & Upper Extremity Surgery of Daytona Beach, LLC Non-Pharmacy Dispensing Site 1241 Ridgewood Ave, Daytona Beach, FL 32114 2017-10-26
1104347053 Harry Herman Blanke IIi Family Medicine 201 N Clyde Morris Blvd, Suite 200, Halifax Health Family Medicine Residency Program, Daytona Beach, FL 32114 2017-06-30
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Taxonomy Information

Taxonomy Code 363LP0200X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Pediatrics

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1639672033 Laura Devilbiss Nurse Practitioner 431 S Keech St, Daytona Beach, FL 32114-4623 2018-03-12
1770123820 Jane Hollis Nurse Practitioner 303 N Clyde Morris Blvd, Daytona Beach, FL 32114-2709 2020-01-07

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003417072 Carmen Moreno Nurse Practitioner 336 Golfview Rd Apt 909, North Palm Beach, FL 33408-3512 2020-11-05
1366043614 Christi Koshy Nurse Practitioner 4025 N Nob Hill Rd Apt 207, Sunrise, FL 33351-5811 2020-11-03
1730789322 Michelle Yen-vera Nurse Practitioner 18409 Nw 9th Ct, Pembroke Pines, FL 33029-3607 2020-11-01
1376143487 Aimee N Jorgenson Stough Nurse Practitioner 91550 Overseas Hwy Ste 209, Tavernier, FL 33070-2513 2020-10-28
1588271233 Olivia Janelle De Jong Nurse Practitioner 424 Ne 6th St Apt D, Gainesville, FL 32601-5576 2020-09-28
1801407796 Elisabeth Morley Chinlund Nurse Practitioner 445 Delmar Ter S Apt 5, Saint Petersburg, FL 33701-4653 2020-08-13
1972113025 Nicole Horn Nurse Practitioner 8095 Spyglass Hill Rd Ste 104, Melbourne, FL 32940-8290 2020-08-04
1073131850 Olivia Dawn Wilson Nurse Practitioner 5105 Clover Mist Dr, Apollo Beach, FL 33572-3417 2020-07-08
1427687565 Cortney M Starr Nurse Practitioner 2261 Kingfisher Ln, Clearwater, FL 33762-3323 2020-04-01
1285263335 Summer Leigh Moran Nurse Practitioner 528 W Baldwin Rd # A, Panama City, FL 32405-3313 2020-04-01
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Competitor

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City DAYTONA BEACH
Zip Code 32114

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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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