REBECCA A GARDNER (NPI# 1811004633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1811004633 |
| Entity Type | Individual |
| Full Name | REBECCA A GARDNER |
| Other Name | REBECCA A EMMONS |
| Credential | MD |
| Practice Address |
825 Eastlake Ave E Seattle WA 98109-4405 |
| Mailing Address |
Po Box 50095 Seattle WA 98145-5095 |
| Practice Telephone | 2069872106 |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-09-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD00046363 | WA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427469527 | Rebecca Gardner | Speech-Language Pathologist | 3607 Shannon Rd, Cleveland, OH 44118-1928 | 2014-05-12 |
| 1720396195 | Rebecca Gardner | Licensed Practical Nurse | 685 Maple Dr, Kirkville, NY 13082-9213 | 2010-09-20 |
| 1801054804 | Rebecca Gardner | Counselor | 1380 Rte 286 Hwy E, 524, Indiana, PA 15701-1461 | 2008-05-27 |
| 1659812451 | Rebecca Gardner | Counselor | 9330 59th Ave Sw, Lakewood, WA 98499-2858 | 2017-03-13 |
| 1730519224 | Rebecca Gardner | Case Manager/Care Coordinator | 55 S 500 E, Heber City, UT 84032-1918 | 2013-11-19 |
| 1508105685 | Rebecca Gardner | Community Health Worker | 4989 N 3rd St, Laramie, WY 82072-9548 | 2013-02-08 |
| 1992826069 | Rebecca Smoot Gardner | Social Worker | 179 Parkside Drive, Colorado Springs, CO 80910 | 2007-04-03 |
| Street Address |
825 EASTLAKE AVE E |
| City | SEATTLE |
| State | WA |
| Zip Code | 98109-4405 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386637288 | Stephen J Lemon | Internal Medicine | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2005-08-25 |
| 1306447834 | Saaiqa Maredia Momin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-11-02 |
| 1154921849 | Kenneth Tham | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-10-30 |
| 1023625498 | Ivan Jiayong Huang | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-09-29 |
| 1710599378 | Christine Gleason | Nurse Practitioner | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-08-17 |
| 1962023374 | Deeter Ryan Neumann | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-27 |
| 1083234595 | Sydney Lee Smith | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
| 1629698154 | Andrew Thomas Ruplin | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-24 |
| 1396365300 | Kikkeri N Naresh | Pathology | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-20 |
| 1942820220 | Arianne Duong | Pharmacist | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2020-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710590179 | Direct Urgent Care Inc | Internal Medicine | 220 6th Avenue North, Seattle, WA 98109 | 2020-08-26 |
| 1073147104 | Hannah Christine Hoyt | Registered Nurse | 1354 Aloha St, Seattle, WA 98109 | 2020-02-27 |
| 1508402645 | Emily Elizabeth Rock | Counselor | Rain City Integrative Clinic, 2730 Westlake Ave N, Seattle, WA 98109 | 2019-11-25 |
| 1770048464 | Roger Leach | Massage Therapist | 4162, Roy Street, Seattle, WA 98109 | 2019-02-06 |
| 1306316658 | Laura Katie Richer | Counselor | 1817 Queen Anne Ave. N., 204, Seattle, WA 98109 | 2018-11-29 |
| 1912492828 | One Medical Group of Washington, P.C. | Psychologist | 625 Boren Avenue North, Seattle, WA 98109 | 2018-06-25 |
| 1942793526 | Washington Dental Corporation, PC | Dentist | 527 Boren Ave N, Seattle, WA 98109 | 2018-06-08 |
| 1417449968 | Chelsie Mccalla | Occupational Therapy Assistant | Mirabella, 116 Fairview Ave N, Seattle, Seattle, WA 98109 | 2018-05-31 |
| 1710405964 | Next Level Sports Performance Consulting | Clinic/Center | 24 Roy Street, #461, Seattle, WA 98109 | 2017-09-07 |
| 1679091953 | Amy Ly Indorf | Pharmacist | 825 Eastlake Ave E #msg5-90, Seattle, WA 98109 | 2017-09-06 |
| Find all providers in zip 98109 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750795654 | Raghav Chawla | Pediatrics | 4800 Sand Point Way Ne, B-6553, Seattle, WA 98105 | 2014-06-18 |
| 1780792622 | Phoenix A Ho | Pediatrics | 2324 Eastlake Ave E Ste 500, Seattle, WA 98102-6536 | 2006-08-29 |
| 1497174759 | Erin E Crotty | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-15 |
| 1871912261 | Anurekha Gollapudi | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2014-04-14 |
| 1073930277 | Cassie Kai-chi Chou | Pediatrics | 4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105-3901 | 2014-03-25 |
| 1184966251 | Michelle Ting | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2013-03-26 |
| 1598007890 | Jay Sarthy | Pediatrics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2013-03-25 |
| 1134460751 | Neel Sanjivbhai Bhatt | Pediatrics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2013-03-06 |
| 1730476581 | Urmila P Uparkar | Pediatrics | 4800 Sand Point Way Ne, B-6553, Seattle, WA 98105-3901 | 2011-06-30 |
| 1144511080 | Adam Joseph Lamble | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2011-04-26 |
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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.