Alexandra Tara Gardner
Individual provider Active NPI Peer Specialist · Grass Valley, CA
NPI 1003694050 · NPPES record last updated Sep 20, 2023
Key facts
- NPI
- 1003694050
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Peer Specialist 175T00000X
- Practice address
- 16573 Old Auburn Rd
Grass Valley, CA 95949 - Phone
- (530) 273-0631
- Fax
- (916) 504-4328
- NPI assigned
- Sep 20, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Insight Respite Center | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Peer Specialist | 175T00000X | Yes |
Addresses
Primary practice location
16573 Old Auburn Rd
Grass Valley, CA 95949
Mailing address
16573 Old Auburn Rd
Grass Valley, CA 95949
Phone (530) 273-0631
Other providers in Grass Valley, CA
- Alexandria Garcia
- Alona Marie Garcia
- Katherine Garcia
- Morgan Elizabeth Garcia
- Sylvia Garcia
- Christkopher S. Gardner
- Garfield Beach CVS, L.L.C.
- Alexander Matthew Garlinger
- Anna Garrison
- Frank Jay Gates
All providers in Grass Valley, CA · Peer Specialist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.