Individual provider Active NPI

Heather Renee Gardiner, FNP-BC

  • Family Nurse Practitioner
  • Burleson, TX
National Provider Identifier
1306284625
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
669717 Issued in TX
Practice address
101 NW Ellison St
Burleson, TX 76028-4745
Phone
(817) 295-5200
NPI assigned
Jun 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 669717 TX Primary

Addresses

Primary practice location

101 NW Ellison St
Burleson, TX 76028-4745

Mailing address

101 NW Ellison St
Burleson, TX 76028-4745
Phone (817) 295-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address hgardiner218830@direct.sw.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140210001376 TX Practitioner - Nurse Practitioner 9739318999 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

4001 Worth St
Dallas, TX 75246-1608

5408 Colleyville Blvd
Colleyville, TX 76034-5833
Phone (817) 498-9920

5701 Bryant Irvin Rd
Fort Worth, TX 76132-4027

6420 Altamesa Blvd
Suite 100
Fort Worth, TX 76132-3553
Phone (817) 912-9000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
669717TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Current Accepting new patients
Healthtexas Provider Network CurrentSince Nov 23, 2013 Accepting new patients
Healthtexas Provider Network CurrentSince Nov 23, 2013 Accepting new patients
Short Family Medical Center PA PastSince Feb 4, 2019 Accepting new patients
Healthtexas Provider Network Past Accepting new patients

Locations

5408 Colleyville Blvd
Colleyville, TX 76034
Phone (817) 498-9920

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

8080 N Central Expy
Ste 600
Dallas, TX 75206
Phone (972) 860-8648

6420 Altamesa Blvd
Ste 100
Fort Worth, TX 76132
Phone (817) 912-9000

Interoperability endpoints

  • Direct secure messaging: hgardiner218830@direct.sw.org
  • FHIR API: https://api.platform.athenahealth.com/9621/brand/1/csg/1/fhir/r4

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1370649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648684800000",
    "number": "1306284625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 NW ELLISON ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284745",
            "telephone_number": "817-295-5200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 NW ELLISON ST",
            "city": "BURLESON",
            "state": "TX",
            "postal_code": "760284745",
            "telephone_number": "817-295-5200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "HEATHER",
        "middle_name": "RENEE",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-08",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "669717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "hgardiner218830@direct.sw.org",
            "affiliation": "N",
            "address_1": "6420 Altamesa Blvd Ste 100",
            "city": "Fort Worth",
            "state": "TX",
            "country_code": "US",
            "postal_code": "761323524",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burleson, TX

Sources for this page

Verify at the official NPI Registry.