Active NPI
Brigett Leigh Garner, NP
- Obstetrics & Gynecology Nurse Practitioner
- Mesa, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Nurse Practitioner
- License
- 4403
- Practice address
- 455 E 6TH St
Suite 100
Mesa, AZ 85203-7118 - Phone
- (480) 844-4702
- Fax
- (480) 844-4323
- NPI assigned
- Apr 26, 2006
- Last updated
- May 23, 2022
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 304149 | NY | |
| Women's Health Nurse Practitioner | 363LW0102X | 420740 | NY | |
| Obstetrics & Gynecology Nurse Practitioner | 363LX0001X | 4403 | AZ | Primary |
| Registered Nurse | 163W00000X | 534660 | NY | |
| Registered Nurse | 163W00000X | 172842 | AZ |
Addresses
Primary practice location
455 E 6TH St
Suite 100
Mesa, AZ 85203-7118
Mailing address
655 S Dobson Rd
Ste 101
Chandler, AZ 85224-5668
Phone (480) 844-4702
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00243352 | Other | NY | MMIS PROVIDER ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
655 S Dobson Rd
Suite A101
Chandler, AZ 85224-5667
Phone (480) 459-2555
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172842 | AZ | MD | Registered Nurse |
| 534660 | NY | MD | Registered Nurse |
| 304149 | NY | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lilac Healthcare LLC | Current | Accepting new patients | |
| New York City Health and Hospitals Corporation | Past | Accepting new patients |
Locations
655 S Dobson Rd
Ste 101
Chandler, AZ 85224
Phone (480) 459-2555
655 S Dobson Rd
Ste A101
Chandler, AZ 85224
Phone (480) 855-5900
1489 S Higley Rd
Ste 101
Gilbert, AZ 85296
Phone (480) 457-8800
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AHFJBD
- https://fhir4.healow.com/fhir/r4/AHFJBD/Endpoint/AHFJBD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Gouverneur Healthcare Services
- Clinic/Center
- New York, NY
- NPI 1548208127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653264000000",
"number": "1154388908",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 S DOBSON RD",
"address_2": "STE 101",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852245668",
"telephone_number": "480-844-4702",
"fax_number": "480-844-4323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "455 E 6TH ST",
"address_2": "SUITE 100",
"city": "MESA",
"state": "AZ",
"postal_code": "852037118",
"telephone_number": "480-844-4702",
"fax_number": "480-844-4323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "BRIGETT",
"middle_name": "LEIGH",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-26",
"last_updated": "2022-05-23",
"certification_date": "2022-05-23",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "NY",
"license": "304149",
"primary": false
},
{
"code": "363LW0102X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Women's Health",
"state": "NY",
"license": "420740",
"primary": false
},
{
"code": "363LX0001X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Obstetrics & Gynecology",
"state": "AZ",
"license": "4403",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NY",
"license": "534660",
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "AZ",
"license": "172842",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMIS PROVIDER ID",
"identifier": "00243352",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesa, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.