Individual provider Active NPI

Doris Lafay Gardiner

  • Licensed Vocational Nurse
  • Beaumont, TX
National Provider Identifier
1063374965
Registry record updated Nov 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Vocational NurseTaxonomy code 164X00000X
License
186640 Issued in TX
Practice address
5075 Rosemary Dr
Beaumont, TX 77708-1948
Phone
(409) 519-1066
Fax
(409) 359-2812
NPI assigned
Nov 29, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Vocational NurseGroup: 193200000X MULTI-SPECIALTY GROUP 164X00000X 186640 TX Primary

Addresses

Primary practice location

5075 Rosemary Dr
Beaumont, TX 77708-1948

Mailing address

5075 Rosemary Dr
Beaumont, TX 77708-1948
Phone (409) 519-1066

Other names 1

  • Doris Lafay Gardiner Professional name

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

LicenseStateTypeSpecialty
186640TXMDLicensed Vocational Nurse

NPI Registry JSON

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

{
    "created_epoch": "1764374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1764374400000",
    "number": "1063374965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5075 ROSEMARY DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777081948",
            "telephone_number": "409-519-1066",
            "fax_number": "409-359-2812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5075 ROSEMARY DR",
            "city": "BEAUMONT",
            "state": "TX",
            "postal_code": "777081948",
            "telephone_number": "409-519-1066",
            "fax_number": "409-359-2812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "DORIS",
        "middle_name": "LAFAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-11-29",
        "last_updated": "2025-11-29",
        "certification_date": "2025-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Licensed Vocational Nurse",
            "state": "TX",
            "license": "186640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DORIS",
            "last_name": "GARDINER",
            "middle_name": "LAFAY",
            "credential": "LVN, FCC-C,WCN-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Beaumont, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.