KELLIE GARDNER FNP-BC NPI 1841634847

NPI Information

NPI: 1841634847
Provider Name: KELLIE GARDNER, FNP-BC
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

Organization: MGMC LLC

PECOS Registration: Yes

Address:
3800 RESERVOIR RD NW
WASHINGTON, DC
ZIP 20007
Phone: (202) 444-7090
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Kellie Gardner, FNP-BC is a family nurse practitioner in Washington, DC with 11 years of experience. Kellie Gardner, FNP-BC NPI is 1841634847. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3800 RESERVOIR RD NW
WASHINGTON, DC
ZIP 20007-113
Phone: (202) 444-7090
Fax: (202) 444-3655

The NPI 1841634847 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 4/20/2013 and was last updated on 6/9/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	RN1013954	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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