Individual provider Active NPI

Brittney Gardner, NP

  • Family Nurse Practitioner
  • Murray, UT
National Provider Identifier
1598486391
Registry record updated Oct 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
4752834-4405 Issued in UT
Practice address
677 W 5300 S
Murray, UT 84123-5671
Phone
(802) 327-8700
NPI assigned
Sep 8, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 4752834-3102 UT
Family Nurse Practitioner 363LF0000X 4752834-4405 UT Primary

Addresses

Primary practice location

677 W 5300 S
Murray, UT 84123-5671

Mailing address

677 W 5300 S
Murray, UT 84123-5671

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL brittney.gardner@imail.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110001006 UT Practitioner - Nurse Practitioner 4688041213 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4752834-3102UTMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Woundtech of Utah, Inc. CurrentSince Sep 23, 2024 Accepting new patients
Comprehensive Medical Services Jordan Health and Wellness Center, Inc PastSince Sep 11, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666310400000",
    "number": "1598486391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "677 W 5300 S",
            "city": "MURRAY",
            "state": "UT",
            "postal_code": "841235671",
            "telephone_number": "802-327-8700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "BRITTNEY",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-10-21",
        "certification_date": "2022-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "4752834-3102",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "4752834-4405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "brittney.gardner@imail.org",
            "affiliation": "N",
            "address_1": "677 W 5300 S",
            "city": "Murray",
            "state": "UT",
            "country_code": "US",
            "postal_code": "841235671",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Murray, UT

Sources for this page

Verify at the official NPI Registry.