Crystal Nicole Garduno, APC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

81615876009 Issued in UT

Practice address

1522 South 1100 East
Salt Lake City, UT 84105

Phone

(801) 467-1200

Fax

(801) 467-1210

NPI assigned

Feb 25, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Psychiatric & Behavioral Solutions, L.L.C.

  • Community/Behavioral Health Agency
  • Salt Lake City, UT
  • NPI 1790043867
  NPD (past)
• Solo Clinical Services LLC

  • Adult Health Nurse Practitioner
  • Salt Lake City, UT
  • NPI 1265612097
  NPD (past)

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

{
    "created_epoch": "1298592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334102400000",
    "number": "1144527243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1522 SOUTH 1100 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84105",
            "telephone_number": "801-467-1200",
            "fax_number": "801-467-1210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1522 SOUTH 1100 EAST",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "84105",
            "telephone_number": "801-467-1200",
            "fax_number": "801-467-1210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDUNO",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "APC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-25",
        "last_updated": "2012-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "UT",
            "license": "81615876009",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael D Gardner, PH.D.
• Noel C Gardner, MD
• S Donald Gardner, D.M.D.
• Shanna A Gardner
• Tiera Jean Gardner
• Allison Gardzalla
• Michael K. Garey, M.D.
• Jason Garfield, CSW, LMSW
• Kinley Garfield, MS, LCGC
• Rebecca Anne Garfield

• Professional Counselor in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Professional Counselor in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2012; 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.