Lacresha Tenisha Marie Gardner

Primary specialty

Nurse's AideTaxonomy code 376K00000X

Practice address

8954 S Bishop St
Chicago, IL 60620-4906

Phone

(773) 209-9201

NPI assigned

Feb 20, 2020

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

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

{
    "created_epoch": "1582156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1508499351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8954 S BISHOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204906",
            "telephone_number": "773-209-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8954 S BISHOP ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606204906",
            "telephone_number": "773-209-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "LACRESHA",
        "middle_name": "TENISHA MARIE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-02-20",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Gardner
• Christi L Gardner, LCSW, CADC
• Ena M. Gardner
• Jill R. Gardner, PH.D.
• Kasey Gardner, MD
• Leslie Gardner, CNM, APN
• Lisa Marie Gardner, M.S, CCC-SLP/L
• Mary Gardner, PSY.D.
• Megan Gardner
• Michele Carla Gardner, L.S.W.

• Nurse's Aide in Chicago, IL
• Providers in Chicago, IL by specialty
• Nurse's Aide in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; 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.