LEE GARDNER (NPI# 1750646782) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750646782 |
| Entity Type | Individual |
| Full Name | LEE GARDNER |
| Credential | RNMHPP |
| Practice Address |
4253 N Crossover Rd Fayetteville AR 72703-4593 |
| Mailing Address |
3352 N Futrall Dr Fayetteville AR 72703-4057 |
| Practice Telephone | 4794436496 |
| Practice Fax Number | 4794432519 |
| Mailing Telephone | 4795211427 |
| Mailing Fax Number | 4795216520 |
| Enumeration Date | 2012-07-05 |
| Last Update Date | 2012-07-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163W00000X | Registered Nurse | R72776 | AR | Nursing Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952412678 | Lee Robbins Gardner | Psychiatry & Neurology | 54 Forest Rd, Tenafly, NJ 07670-2229 | 2006-08-31 |
| 1598103715 | Lee Sullivan Gardner | Social Worker | 100 Straube Center Blvd, Box H-1, Pennington, NJ 08534-1468 | 2013-06-10 |
| 1871635235 | Lee Ray Gardner Jr. | Counselor | 150a South Autumn Street, Employment Services, San Jose, CA 95110-2515 | 2007-02-13 |
| 1063589612 | Lee S Gardner | Physician Assistant | 2725 Channing Way, Idaho Falls, ID 83404-7510 | 2006-11-29 |
| Street Address |
4253 N CROSSOVER RD |
| City | FAYETTEVILLE |
| State | AR |
| Zip Code | 72703-4593 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689617417 | Norman I Snyder | Psychiatry & Neurology | 4253 N Crossover Rd, Suite 2, Fayetteville, AR 72703-4593 | 2006-06-13 |
| 1770184228 | Eleanor Mcdonald | Pharmacist | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2020-11-02 |
| 1891346664 | Miriam Elyse Koesy | Nurse Practitioner | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2019-09-24 |
| 1760965008 | Jessica Musgrove | Nurse Practitioner | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2018-09-12 |
| 1790282879 | Aprn Medical LLC | Clinic/Center | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2018-04-06 |
| 1578064812 | Kaley Md Mhs Inc | Psychiatry & Neurology | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2018-02-22 |
| 1811418403 | Courtenay Gillett | Behavior Technician | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2017-07-05 |
| 1225559966 | Breanna Noelle Hutchings | Behavior Technician | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2017-07-03 |
| 1992225072 | Jack Bowen Gillison | Case Manager/Care Coordinator | 4253 N Crossover Rd, Fayetteville, AR 72703-4593 | 2017-06-21 |
| 1659800092 | Angela Kay Thompson-neeser | Case Manager/Care Coordinator | 4253 N Crossover Rd, Fayetteville, AR 72703 | 2017-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154391 | Margaret Sorrells | Pharmacist | 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 | 2020-11-06 |
| 1497369631 | Justin A Rand | Massage Therapist | 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 | 2020-09-04 |
| 1235777558 | Washington Regional Medical System | Specialist | 3264 N North Hills Blvd, Fayetteville, AR 72703 | 2019-12-17 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1306492129 | Bhg L, LLC | Clinic/Center | 8 Colt Square Drive, Fayetteville, AR 72703 | 2019-08-16 |
| 1306406269 | Idell Marie Mitchell | Optometrist | Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 | 2019-06-13 |
| 1821574815 | Toni Myer | Nurse Practitioner | 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 | 2018-07-13 |
| 1306340393 | Josh Kelfer | Student in an Organized Health Care Education/Training Program | 1125 North College Avenue, Fayetteville, AR 72703 | 2018-03-22 |
| 1649726449 | Vantage Point of Nwa | Community/Behavioral Health | 4171 N. Crossover Rd, Fayetteville, AR 72703 | 2016-08-31 |
| 1386097137 | Jason Nordstrom | Speech-Language Pathologist | 2664 N Valencia Ave, Fayetteville, AR 72703 | 2016-07-18 |
| Find all providers in zip 72703 | ||||
| Taxonomy Code | 163W00000X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.’s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span. |
| Notes: Sources: (2) American Nurses Association, American Nurses Credentialing Center, 1996 Certification Catalogue, and 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 |
|---|---|---|---|---|
| 1093322521 | Madeleine Renee Richardson | Registered Nurse | 710 Marketview Ct, Fayetteville, NC 28301-4868 | 2020-09-29 |
| 1710525142 | Joseph Bulone | Registered Nurse | 5118 Shiraz Ln, Fayetteville, NY 13066-2572 | 2019-12-17 |
| 1104479872 | Shandra Smith Mitchell | Registered Nurse | 1020 Pine Hill Rd, Fayetteville, NC 28305-4843 | 2019-07-22 |
| 1124584958 | Kelly C Hey | Registered Nurse | 109 Wellwood Dr, Fayetteville, NY 13066-2352 | 2019-02-18 |
| 1588137764 | Leandra Lynette Davidson | Registered Nurse | 3201 Rouse Dr, Fayetteville, NC 28306-8324 | 2019-01-09 |
| 1700371820 | Suzanne Chick | Registered Nurse | 550 Warren St Apt 15d, Fayetteville, NY 13066-2166 | 2018-06-30 |
| 1386139285 | David Porter | Registered Nurse | 4000 Medical Center Dr Ste 502, Fayetteville, NY 13066-6631 | 2018-06-25 |
| 1457876179 | Jeffrey P Collins | Registered Nurse | 18 Ely Dr, Fayetteville, NY 13066-1002 | 2017-08-03 |
| 1437686847 | Tamela Thomas | Registered Nurse | 3715 N Business Dr Ste 202, Fayetteville, AR 72703-5288 | 2017-05-16 |
| 1568909661 | Tameka Andrea Walker | Registered Nurse | 3035a Boone Trail, Fayetteville, NC 28304 | 2017-01-26 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 72703 |
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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.