Active NPI
Kathy Marie Garner, CRNP
- Family Nurse Practitioner
- Gadsden, AL
National Provider Identifier
1154479236
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- AL 1-068901
- Practice address
- 300 Medical Center Dr
Suite 200
Gadsden, AL 35903-1157 - Phone
- (256) 494-4646
- Fax
- (256) 494-4649
- NPI assigned
- Jan 8, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | AL 1-068901 | AL | Primary |
| Nurse Practitioner | 363L00000X | 1-068901 | AL |
Addresses
Primary practice location
300 Medical Center Dr
Suite 200
Gadsden, AL 35903-1157
Mailing address
300 Medical Center Dr
Suite 200
Gadsden, AL 35903-1157
Phone (256) 494-4646
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154479236 / 109271 | Medicaid | AL | |
| 1154479236 / 192686 | Medicaid | AL | |
| 515-95252 | Other | AL | AL BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1-068901 | AL | MD | Nurse Practitioner |
| AL 1-068901 | AL | MD | Family Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485561600000",
"number": "1154479236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "300 MEDICAL CENTER DR",
"address_2": "SUITE 200",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031157",
"telephone_number": "256-494-4646",
"fax_number": "256-494-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 MEDICAL CENTER DR",
"address_2": "SUITE 200",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031157",
"telephone_number": "256-494-4646",
"fax_number": "256-494-4649"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARNER",
"first_name": "KATHY",
"middle_name": "MARIE",
"credential": "CRNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2017-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "AL 1-068901",
"primary": true
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "AL",
"license": "1-068901",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154479236 / 109271",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1154479236 / 192686",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AL BCBS",
"identifier": "515-95252",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.