Active NPI
Martha Louise Gardner, ARNP
- Nurse Practitioner
- Louisville, KY
National Provider Identifier
1457493215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 3003254
- Practice address
- 720 W Hill St
Louisville, KY 40208-2216 - Phone
- (502) 636-3164
- Fax
- (502) 634-3731
- NPI assigned
- Feb 12, 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 |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 3254P | KY | |
| Nurse Practitioner | 363L00000X | 3003254 | KY | Primary |
Addresses
Primary practice location
720 W Hill St
Louisville, KY 40208-2216
Mailing address
PO Box 950202
Louisville, KY 40295-0202
Phone (502) 588-9490
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicsoap.nortonhealthcare.org/ | ||
| Direct Messaging Address | mgardner39334@direct.nortonhealthcare.org |
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 |
|---|---|---|---|
| 3003254 | KY | MD | Nurse Practitioner |
| 3254P | KY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Commonwealth Ear Nose & Throat-Head & Neck Center | Past | Accepting new patients |
Interoperability endpoints
- mgardner39334@direct.nortonhealthcare.org
Organizations & group practices 1
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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1610409600000",
"number": "1457493215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 950202",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402950202",
"telephone_number": "502-588-9490",
"fax_number": "502-272-5116"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 W HILL ST",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402082216",
"telephone_number": "502-636-3164",
"fax_number": "502-634-3731"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "MARTHA",
"middle_name": "LOUISE",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-12",
"last_updated": "2021-01-12",
"certification_date": "2021-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3254P",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "KY",
"license": "3003254",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicsoap.nortonhealthcare.org/",
"affiliation": "N",
"address_1": "720 W Hill St",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402082216",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mgardner39334@direct.nortonhealthcare.org",
"affiliation": "N",
"address_1": "720 W Hill St",
"city": "Louisville",
"state": "KY",
"country_code": "US",
"postal_code": "402082216",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.