Kathi Sue Gardner, FNP-C

Primary specialty

General Practice Registered NurseTaxonomy code 163WG0000X

License

21599 Issued in CA

Practice address

2333W March LN A1
Stockton, CA 95207-5263

Phone

(209) 475-8144

Fax

(209) 474-7679

NPI assigned

Apr 17, 2013

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

Enrolled in CA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

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

• Lodi Memorial Hospital Association, Inc

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1861649352
  Medicare reassignment NPD
• Lodi Memorial Hospital Association Inc

  • General Acute Care Hospital
  • Lodi, CA
  • NPI 1316938301
  NPD
• Lodi Memorial Hospital Association, Inc.

  • Primary Care Clinic/Center
  • Lodi, CA
  • NPI 1760620330
  NPD
• March Lane Medical Clinic Inc

  • Family Medicine Physician
  • Stockton, CA
  • NPI 1295155638
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1441238400000",
    "number": "1689017972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2333W MARCH LN A1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075263",
            "telephone_number": "209-475-8144",
            "fax_number": "209-474-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2333W MARCH LN A1",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952075263",
            "telephone_number": "209-475-8144",
            "fax_number": "209-474-7679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KATHI",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2015-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WG0000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, General Practice",
            "state": "CA",
            "license": "21599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stacy Garcia
• Stephanie Garcia
• Syrellene Cabral Garcia
• Ximena Garcia
• Arianna Lynn Gardner
• Ramon Gardose
• Param Singh Garewal, MD
• Garfield Beach CVS LLC
• Garfield Beach CVS LLC
• Craig Steven Garfolo, DPM

• General Practice Registered Nurse in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.