Shari L Gardner

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

480015BP Issued in CA

Practice address

1735 Enterprise Dr Ste 105a
Fairfield, CA 94533-6822

Phone

(707) 425-1799

Fax

(707) 425-1081

NPI assigned

Jul 10, 2009

Last updated

Jul 10, 2009By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247184000000",
    "number": "1356570345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1735 ENTERPRISE DR STE 105A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336822",
            "telephone_number": "707-425-1799",
            "fax_number": "707-425-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 ENTERPRISE DR STE 105A",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945336822",
            "telephone_number": "707-425-1799",
            "fax_number": "707-425-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "SHARI",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2009-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "480015BP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor C Garcia, PA-C
• Veronica Garcia
• Victoria Garcia
• Nicolas Alexander Gardley
• Laura Gardner
• Terie Lynn Gardner, LCSW
• Garfield Beach CVS LLC (CVS Pharmacy #16199)
• Nicole Garfield
• Cecilia Garibay
• Jeremy Lee Garlick, PTA

• Mental Health Counselor in Fairfield, CA
• Providers in Fairfield, CA by specialty
• Mental Health Counselor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2009; 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.