KATIE GARDNER (NPI# 1821549858) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821549858 |
| Entity Type | Individual |
| Full Name | KATIE GARDNER |
| Practice Address |
5851 W Moorestown Rd Manton MI 49663-9012 |
| Mailing Address |
5851 W Moorestown Rd Manton MI 49663 |
| Practice Telephone | 5862955615 |
| Mailing Telephone | 5862955615 |
| Enumeration Date | 2016-10-14 |
| Last Update Date | 2016-10-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306217708 | Katie Gardner | Speech-Language Pathologist | 2105 5th Ave, #1308, Seattle, WA 98121-2932 | 2015-10-12 |
| 1255979910 | Katie Lynn Gardner | Pharmacy Technician | 840 Washington Ave, Fairborn, OH 45324-3840 | 2019-12-12 |
| 1336521194 | Katie Ellen Gardner | Internal Medicine | 2799 West Grand Blvd, Attention:l K17, Pulmonary and Critical Care Medicine, Detroit, MI 48202 | 2015-06-29 |
| 1912393182 | Katie L Gardner | Radiology | 2211 Lomas Blvd Ne, Albuquerque, NM 87106-2719 | 2015-04-14 |
| 1417373671 | Katie Gardner | Counselor | 80 W Main St, Mendham, NJ 07945-1257 | 2014-03-12 |
| 1982711388 | Katie N Gardner | Physician Assistant | 1500 E Medical Center Drive, B1 Floor University Hospital Recp Emergency, Ann Arbor, MI 48109-5301 | 2006-08-23 |
| Street Address |
5851 W MOORESTOWN RD |
| City | MANTON |
| State | MI |
| Zip Code | 49663-9012 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639454986 | Manton Family Pharmacy Inc | Pharmacy | 117 W Main St, Manton, MI 49663 | 2011-10-19 |
| 1477641926 | Bostick Drug Store Inc | Pharmacy | 117 W Main St, Manton, MI 49663 | 2006-10-10 |
| 1669862546 | Hilda Schut | Massage Therapist | 7144 E 14 Rd, Manton, MI 49663-8600 | 2015-01-29 |
| 1558900720 | Manton Family Pharmacy Inc | Pharmacy | 117 W Main St, Manton, MI 49663-9026 | 2020-01-05 |
| 1578817854 | Bonnie Lou Perkins/crackel | Contractor | 116 Roberts St, Manton, MI 49663-9124 | 2012-11-07 |
| 1093287203 | Stephen Hooper | Transportation Broker | 212 Pine St, Manton, MI 49663-9128 | 2018-12-28 |
| 1922551852 | Manton Medical Equipment, LLC | Health Maintenance Organization | 113 E Main St, Manton, MI 49663-9152 | 2016-07-27 |
| 1578992459 | Karla Long | Physical Therapy Assistant | 413 W Main St, Manton, MI 49663-9156 | 2013-11-01 |
| 1518358779 | Mary Schmidt | Registered Nurse | 9091 W Walker Rd, Manton, MI 49663-9311 | 2015-02-10 |
| 1437626256 | Carrie Lynn Dextrom | Adult Companion | 9200 W Walker Rd, Manton, MI 49663-9315 | 2018-10-30 |
| Find all providers in zip 49663 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326648940 | Danielle Johne | Student in an Organized Health Care Education/Training Program | 1623 W Sharon Rd Sw, Fife Lake, MI 49633-7214 | 2020-11-01 |
| 1285234062 | Christopher Michael Kemp | Student in an Organized Health Care Education/Training Program | 1710 Hermitage Rd, Ann Arbor, MI 48104-4503 | 2020-10-29 |
| 1326647728 | Sevcan Turk | Student in an Organized Health Care Education/Training Program | 1500 E. Medical Center Drive, Uh B2-a209, Dept. of Radiology, Neuroradiology Division, Ann Arbor, MI 48109-5030 | 2020-10-19 |
| 1013514702 | Leeza Fortner | Student in an Organized Health Care Education/Training Program | 259 Mack Ave Ste 4514, Detroit, MI 48201-2427 | 2020-10-06 |
| 1083221345 | Katelynn Ann Millard | Student in an Organized Health Care Education/Training Program | 3710 Tartan Cir, Portage, MI 49024-4094 | 2020-09-29 |
| 1952918377 | Ereny Demian | Student in an Organized Health Care Education/Training Program | 443 Phillips Ave, Clawson, MI 48017-1546 | 2020-09-29 |
| 1629685151 | Nicole Hiltner | Student in an Organized Health Care Education/Training Program | 391 Quail Ridge Ct, Waterford, MI 48327-4332 | 2020-09-29 |
| 1306453303 | Eddie D Williams | Student in an Organized Health Care Education/Training Program | 507 Pearl St, Ypsilanti, MI 48197-2076 | 2020-09-24 |
| 1538774849 | Grace Frederickson | Student in an Organized Health Care Education/Training Program | 820 Meadow Dr, Wayland, MI 49348-1369 | 2020-09-14 |
| 1215541685 | Rebecca Frey | Student in an Organized Health Care Education/Training Program | 3955 Mayfair St, Dearborn Heights, MI 48125-3039 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
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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.