Active NPI
Carrie Lee Gardner, CRNP
- Family Nurse Practitioner
- Troy, AL
National Provider Identifier
1093147183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 1-084030
- Practice address
- 1350 Highway 231 S
Troy, AL 36081-3058 - Phone
- (334) 566-1270
- Fax
- (334) 566-1296
- NPI assigned
- Jul 31, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 1-084030 | AL | Primary |
Addresses
Primary practice location
1350 Highway 231 S
Troy, AL 36081-3058
Mailing address
1350 Highway 231 S
Troy, AL 36081-3058
Phone (334) 566-1270
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 |
|---|---|---|---|
| 1-084030 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1375228800000",
"number": "1093147183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1350 HIGHWAY 231 S",
"city": "TROY",
"state": "AL",
"postal_code": "360813058",
"telephone_number": "334-566-1270",
"fax_number": "334-566-1296"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 HIGHWAY 231 S",
"city": "TROY",
"state": "AL",
"postal_code": "360813058",
"telephone_number": "334-566-1270",
"fax_number": "334-566-1296"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "CARRIE",
"middle_name": "LEE",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-31",
"last_updated": "2013-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "1-084030",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.