KELLY SHANNON GARDNER


Address: 455 Saint Michaels Dr, Santa Fe, NM 87505-7601
Phone: 5059138719

KELLY SHANNON GARDNER (NPI# 1821333659) 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) 1821333659
Entity Type Individual
Full Name KELLY SHANNON GARDNER
Credential RN
Practice Address 455 Saint Michaels Dr
Santa Fe
NM 87505-7601
Mailing Address 2740 Galisteo Rd Apt R
Santa Fe
NM 87505-5858
Practice Telephone 5059138719
Practice Fax Number 5059954959
Mailing Telephone 5059138719
Mailing Fax Number 5059954959
Enumeration Date 2012-12-05
Last Update Date 2012-12-05
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 163W00000X Registered Nurse R56697 NM Nursing Service Providers

Other Providers KELLY GARDNER

NPI Name Taxonomy Address Enumeration
1881071694 Kelly Crews Gardner Physical Therapy Assistant 53 Addie Way, Lynchburg, VA 24501-7255 2015-04-30
1245420520 Kelly Holloman Gardner Counselor 7165 Getwell Rd Bldg G, Southaven, MS 38672-9619 2007-08-01
1003325051 Kelly Ann Gardner Nurse Practitioner 600 Highland Ave, Madison, WI 53792 2017-09-21
1437562618 Kelly J Gardner Pediatrics Massachusetts General Hospital, 55 Fruit St., Boston, MA 02114 2014-06-05
1629315239 Kelly Gardner Physician Assistant 13207 Ravenna Rd, Chardon, OH 44024-7032 2013-01-16
1558623439 Kelly Martin Gardner Registered Nurse 1035 Creswell Ave, Shreveport, LA 71101-3917 2012-06-15
1164716593 Kelly Ann Gardner Anesthesiology 4502 Medical Dr, San Antonio, TX 78229-4402 2011-06-02
1295757524 Kelly Frances Gardner Speech-Language Pathologist 200 Somerset St, Millinocket, ME 04462-1258 2006-07-24
1255319463 Kelly Robert Gardner Radiology 3061 S Maryland Pkwy, Suite 102, Las Vegas, NV 89109-2298 2006-01-06

Office Location

Street Address 455 SAINT MICHAELS DR
City SANTA FE
State NM
Zip Code 87505-7601

Providers in the same location

NPI Name Taxonomy Address Enumeration
1124021233 Bryan W Goss Radiology 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2005-05-23
1194324996 Ashley Dawn Powell Pharmacist 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-10-22
1356949549 Leo Santos Nurse Practitioner 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-10-11
1538772751 Audrea Nicole Nolan Nurse Anesthetist, Certified Registered 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-08-27
1912510165 Antonio Samuel Gervais Registered Nurse 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-08-27
1326664939 Jesse August Schedler Nurse Anesthetist, Certified Registered 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-06-19
1154945830 Brett Elliff Registered Nurse 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-05-29
1275156275 Christopher Parrish Registered Nurse 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-05-26
1255971453 Juliana Ramos Nurse Anesthetist, Certified Registered 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2020-01-15
1134766512 Ying Xiong Nurse Anesthetist, Certified Registered 455 Saint Michaels Dr, Santa Fe, NM 87505-7601 2019-12-05
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1154939031 Enchanted Sky Hospice,llc Hospice Care, Community Based 1692b Hospital Drive, Vigil Office Building, Suite 201a, Santa Fe, NM 87505 2020-07-16
1700409968 Caa Consulting, LLC Clinic/Center 1448 S St. Francis Drive, Santa Fe, NM 87505 2020-05-22
1104447093 Dana Marie Tsyconyea Simmons Counselor 1640 Calle Medico, Suite E, Santa Fe, NM 87505 2020-05-01
1114574217 Kumara Hampton Therapy, LLC Counselor 11 Calle Medico Suite 4, Santa Fe, NM 87505 2019-08-22
1245886977 Caroline Ward Technician 513 Velarde St 513 Velarde St, Santa Fe, NM 87505 2019-08-19
1205490752 Alyson Yacono Physical Therapist 104 Old Las Vegas Highway, Santa Fe, NM 87505 2019-04-30
1366919649 Allyson Matthews Speech-Language Pathologist Santa Fe Public Schools Special Education Department, 1300 Camino Sierra Vista, Santa Fe, NM 87505 2018-10-25
1093280281 Diamond Care Santa Fe LLC Skilled Nursing Facility 635 Harkle Road, Santa Fe, NM 87505 2018-10-04
1972087054 Changing Woman Initiative Advanced Practice Midwife 460 Saint Michaels Drive, Suite 804, Santa Fe, NM 87505 2018-09-24
1154812782 Heart Wing, LLC Social Worker 2724 Alamosa Drive, Santa Fe, NM 87505 2018-05-18
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Taxonomy Information

Taxonomy Code 163W00000X
Grouping Nursing Service Providers
Classification Registered Nurse

Taxonomy Definition

(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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1356940498 Paula Boody Registered Nurse 4721 S Tower Rd, Santa Fe, TX 77517-2515 2020-10-20
1518589753 Shelby Mauldin Registered Nurse 3230 Avenue E 1/2, Santa Fe, TX 77510-8055 2020-05-11
1861037855 Tania Judith Chavez Registered Nurse 1016 Don Juan St, Santa Fe, NM 87501-2412 2019-11-13
1477037919 Karlee Alayne Mcbride Registered Nurse 12222 Vista Real, Santa Fe, TX 77510-4036 2018-09-20
1558859538 Cynthia Geist Registered Nurse 1300 Sierra Vis, Santa Fe, NM 87505-1007 2018-04-25
1366949802 Darrien Hope Jones Registered Nurse 14605 Ash Rd, Santa Fe, TX 77517-3920 2018-04-11
1386065365 Gillian Norris Registered Nurse 5901 Herrera Dr, Santa Fe, NM 87507-2676 2013-12-18
1053744953 Chad Leet Registered Nurse 23 Camino De Las Minas, Santa Fe, NM 87508-9491 2013-08-14
1053664771 Healthy Lessons Registered Nurse 1802 Avenue L, Santa Fe, TX 77510-7919 2012-10-18
1750670709 Emily Glaser Registered Nurse 1622 Saint Michaels Dr, Santa Fe, NM 87505-7712 2011-03-30
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Competitor

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City SANTA FE
Zip Code 87505

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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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