Individual provider Active NPI

Diane Gandy Gardner, M.S., CCC-A

  • Audiologist
  • Castle Rock, CO
National Provider Identifier
1457555096
Registry record updated Mar 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
23002124A Issued in IN
Practice address
2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419
Phone
(720) 455-3800
Fax
(720) 455-3801
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AUD.0001003 CO
Audiologist 231H00000X 23002124A IN Primary

Addresses

Primary practice location

2352 Meadows Blvd Ste 300
Castle Rock, CO 80109-8419

Mailing address

8336 Coral Bay CT
Indianapolis, IN 46236-9196
Phone (317) 823-0698

Other practice location 1

7440 N Shadeland Ave
Indianapolis, IN 46250-2029
Phone (317) 842-4901

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
Master of Science

State licenses

LicenseStateTypeSpecialty
23002124AINMDAudiologist

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646611200000",
    "number": "1457555096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8336 CORAL BAY CT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462369196",
            "telephone_number": "317-823-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 300",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801098419",
            "telephone_number": "720-455-3800",
            "fax_number": "720-455-3801"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7440 N Shadeland Ave",
            "address_purpose": "LOCATION",
            "city": "Indianapolis",
            "state": "IN",
            "postal_code": "462502029",
            "country_code": "US",
            "telephone_number": "317-842-4901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DIANE",
        "middle_name": "GANDY",
        "name_prefix": "Mrs.",
        "credential": "M.S., CCC-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2022-03-07",
        "certification_date": "2022-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CO",
            "license": "AUD.0001003",
            "primary": false
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "IN",
            "license": "23002124A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2022; 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.