Active NPI
Lynn Ann Gardner, RN,BSN
- School Registered Nurse
- New Cumberland, WV
National Provider Identifier
1033826250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- School Registered Nurse
- License
- 85203
- Practice address
- 39 Golden Bear Dr
New Cumberland, WV 26047-1670 - Phone
- (304) 387-2363
- Fax
- (304) 387-4624
- NPI assigned
- Oct 28, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| School Registered Nurse | 163WS0200X | 85203 | WV | Primary |
Addresses
Primary practice location
39 Golden Bear Dr
New Cumberland, WV 26047-1670
Mailing address
39 Golden Bear Dr
New Cumberland, WV 26047-1670
Phone (304) 387-2363
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 85203 | Other | WV | RN/SCHOOL NURSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lynn.gardner@k12.wv.us | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Bachelor on Science - Nursing, Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 85203 | WV | MD | School Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666915200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666915200000",
"number": "1033826250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39 GOLDEN BEAR DR",
"city": "NEW CUMBERLAND",
"state": "WV",
"postal_code": "260471670",
"telephone_number": "304-387-2363",
"fax_number": "304-387-4624"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "39 GOLDEN BEAR DR",
"city": "NEW CUMBERLAND",
"state": "WV",
"postal_code": "260471670",
"telephone_number": "304-387-2363",
"fax_number": "304-387-4624"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "LYNN",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "RN,BSN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-28",
"last_updated": "2022-10-28",
"certification_date": "2022-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "163WS0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, School",
"state": "WV",
"license": "85203",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RN/SCHOOL NURSE",
"identifier": "85203",
"state": "WV"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lynn.gardner@k12.wv.us",
"affiliation": "N",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "39 Golden Bear Dr",
"city": "New Cumberland",
"state": "WV",
"country_code": "US",
"postal_code": "260471670",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in New Cumberland, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.