Amy D. Gardner, FNP-C

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

134830 Issued in MO

Practice address

102 Courtney Lane
Crane, MO 65633-9192

Phone

(417) 269-2264

Fax

(417) 269-2270

NPI assigned

Nov 7, 2006

Last updated

Dec 4, 2012By 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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1639248131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S. NATIONAL AVE",
            "address_2": "#540",
            "city": "SPRINGFIELD",
            "state": "MO",
            "postal_code": "658075284",
            "telephone_number": "417-269-2264",
            "fax_number": "417-269-2270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 COURTNEY LANE",
            "city": "CRANE",
            "state": "MO",
            "postal_code": "656339192",
            "telephone_number": "417-269-2264",
            "fax_number": "417-269-2270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "AMY",
        "middle_name": "D.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MO",
            "license": "134830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "425928405",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry J Burpo, DMD
• Lori Conner, PTA
• Cox-Monett Hospital Inc (Coxhealth Center Crane)
• Bradley Jason Deans, COTA/L
• Cori Dykes, PHARMD
• Billie Jo Green, PLPC, PSC
• Higher Standards Staffing, LLC
• Jessica Lynn Hudson, TECHNICIAN
• Jessica Ann Johnson, RN
• Paula Lee Leonard

• Family Nurse Practitioner in Crane, MO
• Providers in Crane, MO by specialty
• Family Nurse Practitioner in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.