Kim Jo Gardner

Primary specialty

HomemakerTaxonomy code 376J00000X

Practice address

86 Benjamin St
Lexington, OH 44904-8008

Phone

(419) 565-8286

NPI assigned

Sep 30, 2020

Sex

Female

Sole proprietor

Yes

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, last updated by the provider on Sep 30, 2020.

{
    "created_epoch": "1601424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1124635461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86 BENJAMIN ST",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449048008",
            "telephone_number": "419-565-8286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BENJAMIN ST",
            "city": "LEXINGTON",
            "state": "OH",
            "postal_code": "449048008",
            "telephone_number": "419-565-8286"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KIM",
        "middle_name": "JO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-30",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376J00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Homemaker",
            "state": "OH",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brian Jacob Faust, DC
• Lindsay Fesler
• Carol Ann Frazier II
• Deanna Marie Furr
• Nathan Howard Gailey
• Mary Ann Garn
• Kristy Renee Getz, RN, BSN
• Monica Goergy
• Laura Griffin, R.N.
• Lauren Ashley Grove

• All providers in Lexington, OH
• Homemaker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2020; 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.