MRS. SUSAN MARIE GARDNER (NPI# 1841498441) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841498441 |
| Entity Type | Individual |
| Full Name | MRS. SUSAN MARIE GARDNER |
| Credential | FNP |
| Practice Address |
1801 E Langsford Rd Lees Summit MO 64063-6323 |
| Mailing Address |
413e Partridge Ave Independence MO 64055-1421 |
| Practice Telephone | 8165242590 |
| Practice Fax Number | 8165247079 |
| Mailing Telephone | 8165220412 |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2017-06-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
46050 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LF0000X |
Nurse Practitioner Specialization: Family |
154843 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
46050 | KS | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363LP2300X |
Nurse Practitioner Specialization: Primary Care |
154843 | MO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | MO NURSING LICENSE | 154843 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144578667 | Susan Mary Gardner | Speech-Language Pathologist | 1500 West 12th Ave, Eugene, OR 97402-3705 | 2012-08-15 |
| 1013142736 | Susan L Gardner | Pharmacist | 910 Mccleary St, Delray Beach, FL 33483-4965 | 2009-05-26 |
| 1851383087 | Susan Gardner | Pediatrics | 17030 Nanes Dr, 105, Houston, TX 77090-2503 | 2005-08-15 |
| 1083188304 | Susan M Gardner | Social Worker | 5700 W Grace St Ste 105a, Richmond, VA 23226-1834 | 2019-01-21 |
| 1194136333 | Susan Gardner | Occupational Therapist | 2100 E Provincial House Dr, Lansing, MI 48910-4884 | 2014-05-09 |
| 1174821664 | Susan Diane Gardner | Registered Nurse | 6160 Mission Gorge Rd, No. 120, San Diego, CA 92120-3410 | 2011-03-07 |
| 1831338102 | Susan Mcmahon Gardner | Optometrist | 410 Route 10, Suite 202 West Ten Plaza, Ledgewood, NJ 07852 | 2009-02-11 |
| 1275781809 | Susan Kay Gardner | Social Worker | 504 W Vista Way, Vista, CA 92083-5704 | 2008-09-08 |
| 1205000528 | Susan Gardner | Speech-Language Pathologist | 520 Grange Rd, Cave City, AR 72521-9393 | 2008-04-17 |
| 1508079443 | Susan Ellen Gardner | Social Worker | 4250 Sunrise Hwy, Suite 103, Massapequa, NY 11758-5338 | 2007-05-07 |
| Street Address |
1801 E LANGSFORD RD |
| City | LEES SUMMIT |
| State | MO |
| Zip Code | 64063-6323 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447265467 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1801 E Langsford Rd, Lees Summit, MO 64063-6323 | 2006-07-29 |
| 1982952511 | Sherri A Bennett | Nurse Practitioner | 1801 E Langsford Rd, Lees Summit, MO 64063-6323 | 2012-08-29 |
| 1457628901 | Jay Robert Sutoris | Pharmacist | 1801 E Langsford Rd, Lees Summit, MO 64063-6323 | 2011-11-29 |
| 1619258902 | Robin J Stevenson | Pharmacist | 1801 E Langsford Rd, Lees Summit, MO 64063-6323 | 2011-08-31 |
| 1518247220 | David P Buttram | Pharmacist | 1801 E Langsford Rd, Lees Summit, MO 64063-6323 | 2011-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649895533 | Ian Christopher Fekete | Student in an Organized Health Care Education/Training Program | Lee's Summit Medical Center, 2100 Se Blue Pkwy, Lee's Summit, MO 64063 | 2020-06-16 |
| 1083268403 | Rachelle Colyer | Physical Therapist | 298 Sw Blue Pkwy, Lee's Summit, MO 64063 | 2019-07-25 |
| 1326504200 | Brenda Michelle Brown | Physical Therapist | 2160 Se Blue Parkway Addington Place, 2160 Seblue Parkway, Lee's Summit, MO 64063 | 2019-02-15 |
| 1528545068 | Bayada Home Health Care, Inc. | Home Health | 600 Sw Jefferson St Ste 101, Lees Summit, MO 64063 | 2018-07-27 |
| 1972089118 | Summit Integrative Dental (bromley, D.d.s. and Broyles, D.d.s.), P.C. | Dentist | 688 Se Bayberry Lane, Suite 101, Lee's Summit, MO 64063 | 2018-07-11 |
| 1104327576 | Molly Moore Mcgraw Davidson | Nurse Practitioner | 2000 Se Blue Pkwy Ste 270a, Lees Summit, MO 64063 | 2018-02-21 |
| 1821507591 | Joshua Greenwell | Chiropractor | 1634 Se Blue Pkwy, Lee's Summit, MO 64063 | 2017-09-26 |
| 1457870651 | Tlc Home Healthcare Consulting Inc | Registered Nurse | 109 Sw Madison St, Lee's Summit, MO 64063 | 2017-09-19 |
| 1053834622 | Kristin E Schwartz | Advanced Practice Midwife | 2000 Se Blue Pkwy Ste 220, Lees Summit, MO 64063 | 2017-07-25 |
| 1316493828 | Laura Ballantyne | Speech-Language Pathologist | 600 Se Miller St, Lees Summit, MO 64063 | 2016-08-26 |
| Find all providers in zip 64063 | ||||
| Taxonomy Code | 363LP2300X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801493275 | Destemona Bozhani-marte | Nurse Practitioner | 5804 Sw Bray Rd, Clarksdale, MO 64430-9176 | 2020-10-07 |
| 1437760675 | Justin Lucas Sweetin | Nurse Practitioner | 7727 Weston Pl, Richmond Heights, MO 63117-2018 | 2020-08-12 |
| 1962043802 | Bonne Terre Healthcare Clinic, LLC | Nurse Practitioner | 11 S Division St Ste A, Bonne Terre, MO 63628-1701 | 2019-10-02 |
| 1720639354 | Anne Nicole Dailey | Nurse Practitioner | 2330 E Meyer Blvd Ste T411, Kansas City, MO 64132-1162 | 2019-09-25 |
| 1326694605 | Affirm Management and Consulting, LLC | Nurse Practitioner | 4728 S Campbell Ave Ste 128, Springfield, MO 65810-1715 | 2019-08-13 |
| 1588122311 | Meskerm Workiye Asfaw | Nurse Practitioner | 589 Vintage Grove Ct, Wildwood, MO 63038-2314 | 2019-03-11 |
| 1063983088 | Jenny Lynette Brown | Nurse Practitioner | 6912 Candlewick Way, Florissant, MO 63033-5113 | 2018-12-17 |
| 1992270011 | Andrew Joseph Gucciardo | Nurse Practitioner | 12348 Old Tesson Rd Ste 250, Saint Louis, MO 63128-2261 | 2018-10-04 |
| 1679065098 | Aaron Dewayne Gitthens | Nurse Practitioner | 898 Sw State Route O, Osborn, MO 64474-9762 | 2018-06-01 |
| 1548763121 | Jennifer Williams | Nurse Practitioner | 4618 Colima Ct, Saint Louis, MO 63128-2309 | 2018-03-09 |
| Find all providers with the same taxonomy | ||||
| City | LEES SUMMIT |
| Zip Code | 64063 |
Please comment or provide details below to improve the information on MRS. SUSAN MARIE GARDNER.
| 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.