Individual provider Active NPI

Latasha Gardener, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Buffalo, NY
National Provider Identifier
1104349117
Registry record updated Jan 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
341916 Issued in NY
Practice address
564 Niagara St BLDG 2
Buffalo, NY 14201-1108
Phone
(716) 882-0366
NPI assigned
Jul 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 341916 NY Primary

Addresses

Primary practice location

564 Niagara St BLDG 2
Buffalo, NY 14201-1108

Mailing address

3871 Harlem Rd
Buffalo, NY 14215-1946
Phone (716) 681-4088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170928001525 NY Practitioner - Nurse Practitioner 5597039677 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trinity Medical Wny PCGroup PAC ID 5193907517, 207 clinicians

Practice addresses (Care Compare)

2950 Elmwood Ave
Suite A1
Kenmore, NY 14217-1304
Phone (716) 529-3070

Hospital & facility affiliations

  • Kenmore Mercy Hospital Hospital, Kenmore, NY, CCN 330102
  • Kaleida Health Hospital, Buffalo, NY, CCN 330005

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Center of Buffalo, Inc. CurrentSince Apr 4, 2022 Accepting new patients
Trinity Medical Wny PC CurrentSince Jun 2, 2025 Accepting new patients
Planned Parenthood of Central and Western New York, Inc CurrentSince Oct 16, 2023 Accepting new patients
Care Medical Practice PLLC Family Medicine CurrentSince Jan 8, 2024 Accepting new patients
Trinity Medical Wny PC CurrentSince Jun 2, 2025 Accepting new patients

Locations

60 E Amherst St
Buffalo, NY 14214
Phone (716) 831-2200

564 Niagara St
Buffalo, NY 14201
Phone (716) 768-7700

34 Benwood Ave
Buffalo, NY 14214
Phone (716) 898-4449

144 Genesee St
Fl 3
Buffalo, NY 14203
Phone (716) 601-3690

3435 Bailey Ave
Buffalo, NY 14215
Phone (716) 835-2966

564 Niagara St
Bldg 2
Buffalo, NY 14201
Phone (716) 324-5026

2950 Elmwood Ave
Ste A1
Kenmore, NY 14217
Phone (716) 529-3070

15 Webster St
North Tonawanda, NY 14120
Phone (716) 694-1225

114 University Ave
Rochester, NY 14605
Phone (585) 546-2771

Interoperability endpoints

  • Direct secure messaging: lgardener@res.medentdirect.com
  • Direct secure messaging: latasha.gardener.p4@direct.usppny.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: latasha.gardener@cinq-nyipa.medentdirect.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/HDJFBA

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1500595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705536000000",
    "number": "1104349117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3871 HARLEM RD",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142151946",
            "telephone_number": "716-681-4088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "564 NIAGARA ST BLDG 2",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142011108",
            "telephone_number": "716-882-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDENER",
        "first_name": "LATASHA",
        "credential": "NURSE PRACTITIONER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-21",
        "last_updated": "2024-01-18",
        "certification_date": "2020-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "341916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buffalo, NY

Sources for this page

Verify at the official NPI Registry.