Samantha Gardner PLLC

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

Legal business name

SAMANTHA GARDNER PLLC

Practice address

1001 N Florence Ave
Claremore, OK 74017-6207

Phone

(918) 283-4660

NPI assigned

Feb 3, 2025

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Samantha Gardner, DNP, APRN-CNP, CPNPNPI 1053772954

Title

Owner

Phone

(817) 713-1779

Specialties & licenses 1

Addresses

Other names 1

• Pediatric Practitioners of Oklahoma Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Samantha Gardner, CPNP-PC

  • Pediatric Nurse Practitioner
  • Comanche, OK
  • NPI 1053772954

  Pediatrics

  NPD Authorized official
• Rachel Hodges, APRN-PC

  • Pediatric Nurse Practitioner
  • Claremore, OK
  • NPI 1396391587

  Pediatrics

  NPD
• Darshi Wickrama Edirisooriya, APRN-CNP

  • Pediatric Nurse Practitioner
  • Claremore, OK
  • NPI 1740756840

  Pediatrics

  NPD (past)
• Deborah S Lammert, APRN-CNP

  • Family Nurse Practitioner
  • Tulsa, OK
  • NPI 1417900275
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1738540800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738540800000",
    "number": "1013721034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 N FLORENCE AVE",
            "city": "CLAREMORE",
            "state": "OK",
            "postal_code": "740176207",
            "telephone_number": "918-283-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMANTHA GARDNER PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-03",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-02",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "817-713-1779",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DNP, APRN-CNP, CPNP"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Practitioners of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marcia R Salisbury, RPTA
• Jennifer Lynn Salmans
• Tabitha Salom
• Stephanie Salusky, PHARMD
• Sam L Horton MD
• Jessica Sanders, RN
• Lavonna K Sanders, CRNA
• Victoria Lynn Sanders, RN
• Derek Sandlin
• Jenna R Santucci, MS SLP

• Pediatric Nurse Practitioner in Claremore, OK
• Providers in Claremore, OK by specialty
• Pediatric Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.