Marcy Gardner, NP

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

28216017A Issued in IN

Practice address

55 S Forest Ave
Brazil, IN 47834-2624

Phone

(812) 442-5600

NPI assigned

Dec 6, 2018

Last updated

Nov 24, 2021By the provider in NPPES

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)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637712000000",
    "number": "1629549324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 S FOREST AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342624",
            "telephone_number": "812-442-5600",
            "fax_number": "812-442-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 S FOREST AVE",
            "city": "BRAZIL",
            "state": "IN",
            "postal_code": "478342624",
            "telephone_number": "812-442-5600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MARCY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-06",
        "last_updated": "2021-11-24",
        "certification_date": "2021-11-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IN",
            "license": "28216017A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Breanna Fagg
• FCP Inc.
• Jessica Lynne Fowler, PHARMD
• Richard Paul Frankville, D.C.
• Jennifer Jayne Gabriel, FNP-C
• Gary Nesty
• Heather Renee Gibbens, FNP-C
• Elizabeth Gilbert, PHARM.D.
• Sierra Kay Girton, RD
• Miranda Anne Goodale, DPM

• Family Nurse Practitioner in Brazil, IN
• Providers in Brazil, IN by specialty
• Family Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 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.

Verify at the official NPI Registry.