Individual provider Active NPI

Sherry P Gardiner, FNP-BC

  • Nurse Practitioner
  • Seaford, DE
National Provider Identifier
1023305513
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
LG-0000570 Issued in DE
Practice address
300 High St
Seaford, DE 19973-3940
Phone
(302) 855-1233
NPI assigned
Jul 5, 2011
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X LG-0000570 DE Primary
Family Nurse Practitioner 363LF0000X LG-0000570 DE

Addresses

Primary practice location

300 High St
Seaford, DE 19973-3940

Mailing address

32219 Robin Hoods Loop
Millsboro, DE 19966-6210
Phone (302) 249-9000

Other practice location 1

21444 Carmean Way
Georgetown, DE 19947-4572
Phone (302) 855-2020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240815001001 DE Order and Referring Only - Nurse Practitioner 1759545247

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Immedicare LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: sherrygardiner@agh.allscriptsdirect.net

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1023305513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32219 ROBIN HOODS LOOP",
            "city": "MILLSBORO",
            "state": "DE",
            "postal_code": "199666210",
            "telephone_number": "302-249-9000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 HIGH ST",
            "city": "SEAFORD",
            "state": "DE",
            "postal_code": "199733940",
            "telephone_number": "302-855-1233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21444 Carmean Way",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "DE",
            "postal_code": "199474572",
            "country_code": "US",
            "telephone_number": "302-855-2020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "SHERRY",
        "middle_name": "P",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2021-10-12",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "DE",
            "license": "LG-0000570",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DE",
            "license": "LG-0000570",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Seaford, DE

Sources for this page

Verify at the official NPI Registry.