Victor Gardner

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

908 N 3Rd St
Monroe, LA 71201

Phone

(318) 325-8748

Fax

(318) 325-8749

NPI assigned

Oct 16, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1444953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531353600000",
    "number": "1104297134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "908 N 3RD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712015844",
            "telephone_number": "318-325-8748",
            "fax_number": "318-325-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "908 N 3RD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71201",
            "telephone_number": "318-325-8748",
            "fax_number": "318-325-8749"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "VICTOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-16",
        "last_updated": "2018-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gardner Podiatry, Inc.
• Gardner Surgery Center Inc
• David G Gardner, DPM
• Deborah Ann Gardner, LPC
• Kymyatta Gardner
• Hendrice Garner
• Meredith L Garner, PHARMD
• Christy S Garrett, M.A., CCC-SLP
• Johnathan Garrett
• Taelor Nichole Garrett

• All providers in Monroe, LA
• Case Manager/Care Coordinator in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2018; 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.