Individual provider Active NPI

Pamela Gardner, APRN FNP-BC

  • Family Nurse Practitioner
  • Mary Esther, FL
National Provider Identifier
1497655021
Registry record updated Nov 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11052108 Issued in FL
Practice address
556 Parish Blvd
Mary Esther, FL 32569-3426
Phone
(925) 683-5380
NPI assigned
Nov 7, 2026
Last updated
Nov 7, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 7, 2026

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 APRN11052108 FL Primary

Addresses

Primary practice location

556 Parish Blvd
Mary Esther, FL 32569-3426

Mailing address

556 Parish Blvd
Mary Esther, FL 32569-3426
Phone (925) 683-5380

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1794009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1794009600000",
    "number": "1497655021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 PARISH BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325693426",
            "telephone_number": "925-683-5380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 PARISH BLVD",
            "city": "MARY ESTHER",
            "state": "FL",
            "postal_code": "325693426",
            "telephone_number": "925-683-5380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "PAMELA",
        "credential": "APRN FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-11-07",
        "last_updated": "2026-11-07",
        "certification_date": "2026-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11052108",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mary Esther, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.