KATIE GARDNER


Address: 5851 W Moorestown Rd, Manton, MI 49663-9012
Phone: 5862955615

KATIE GARDNER (NPI# 1821549858) 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) 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

Taxonomy

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

Other Providers KATIE GARDNER

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

Office Location

Street Address 5851 W MOORESTOWN RD
City MANTON
State MI
Zip Code 49663-9012

Providers in the same zip code

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 Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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]

Providers in the same taxonomy and state

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

Competitor

Search similar providers

City MANTON
Zip Code 49663

Improve Information

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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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