Active NPI
James Ronald Gardner, R.D.
- Registered Dietitian
- Keene, NH
National Provider Identifier
1043537467
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 0510
- Practice address
- 25 Roxbury CT
Keene, NH 03431-3279 - Phone
- (603) 762-4873
- Fax
- (888) 874-2871
- NPI assigned
- Apr 24, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 0510 | NH | Primary |
Addresses
Primary practice location
25 Roxbury CT
Keene, NH 03431-3279
Mailing address
25 Roxbury CT
Keene, NH 03431-3279
Phone (603) 762-4873
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0510 | NH | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272067200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1272067200000",
"number": "1043537467",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25 ROXBURY CT",
"city": "KEENE",
"state": "NH",
"postal_code": "034313279",
"telephone_number": "603-762-4873",
"fax_number": "888-874-2871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25 ROXBURY CT",
"city": "KEENE",
"state": "NH",
"postal_code": "034313279",
"telephone_number": "603-762-4873",
"fax_number": "888-874-2871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "JAMES",
"middle_name": "RONALD",
"credential": "R.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-04-24",
"last_updated": "2010-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NH",
"license": "0510",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Keene, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.