Active NPI
Todd S Gardner, APRN
- Nurse Practitioner
- Lebanon, NH
National Provider Identifier
1285904532
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 059427-23
- Practice address
- One Medical Center Dr
Dartmouth Hitchcock - Psychiatry
Lebanon, NH 03756 - Phone
- (603) 650-6150
- NPI assigned
- Jan 4, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 059427-23 | NH | Primary |
Addresses
Primary practice location
One Medical Center Dr
Dartmouth Hitchcock - Psychiatry
Lebanon, NH 03756
Mailing address
One Medical Center Dr
Dartmouth Hitchcock - Psychiatry
Lebanon, NH 03756
Phone (603) 650-6150
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240626002406 | NH | Practitioner - Nurse Practitioner | 1557615242 | Practice locations: New London, NH |
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
276 Newport Rd
Suite 204
New London, NH 03257-5469
Phone (603) 727-2277
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Interoperability endpoints
- tgardner12947@direct.dartmouth-hitchcock.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1325635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542672000000",
"number": "1285904532",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DR",
"address_2": "DARTMOUTH HITCHCOCK - PSYCHIATRY",
"city": "LEBANON",
"state": "NH",
"postal_code": "03756",
"telephone_number": "603-650-6150"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "ONE MEDICAL CENTER DR",
"address_2": "DARTMOUTH HITCHCOCK - PSYCHIATRY",
"city": "LEBANON",
"state": "NH",
"postal_code": "03756",
"telephone_number": "603-650-6150"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "TODD",
"middle_name": "S",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-01-04",
"last_updated": "2018-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NH",
"license": "059427-23",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lebanon, NH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2018; 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.