Individual provider Active NPI

Dawn Malisa Gardenhire, RN

  • Community Health Registered Nurse
  • Bedford, OH
National Provider Identifier
1073845186
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Registered NurseTaxonomy code 163WC1500X
License
369079 Issued in OH
Practice address
878 High St
Bedford, OH 44146-3870
Phone
(216) 647-5991
NPI assigned
Feb 1, 2010
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Registered Nurse 163WC1500X 369079 OH Primary

Addresses

Primary practice location

878 High St
Bedford, OH 44146-3870

Mailing address

10448 Kingsbury Blvd
Cleveland, OH 44104-1112
Phone (216) 647-5991

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Undefined Non-Physician Type (Specify)
Education
Other, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

878 High St
Bedford, OH 44146-3870

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
369079OHMDCommunity Health Registered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
New Dawn Home Healthcare CurrentSince Sep 8, 2025 Accepting new patients

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": "1264982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1073845186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10448 KINGSBURY BLVD",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441041112",
            "telephone_number": "216-647-5991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "878 HIGH ST",
            "city": "BEDFORD",
            "state": "OH",
            "postal_code": "441463870",
            "telephone_number": "216-647-5991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDENHIRE",
        "first_name": "DAWN",
        "middle_name": "MALISA",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-02-01",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "OH",
            "license": "369079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, OH

Sources for this page

Verify at the official NPI Registry.