Active NPI
Elizabeth Danielle Gardner, APRN CNS
- Clinical Nurse Specialist
- Duncan, OK
National Provider Identifier
1700404910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Nurse Specialist
- License
- 96179
- Practice address
- 1407 N Whisenant Dr
Duncan, OK 73533-1650 - Phone
- (580) 252-5300
- Fax
- (580) 251-8537
- NPI assigned
- Jul 14, 2020
- Last updated
- Jul 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Nurse Specialist | 364S00000X | 96179 | OK | Primary |
| Acute Care Clinical Nurse Specialist | 364SA2100X | 96179 | OK | |
| Gerontology Clinical Nurse Specialist | 364SG0600X | 96179 | OK |
Addresses
Primary practice location
1407 N Whisenant Dr
Duncan, OK 73533-1650
Mailing address
1847 Oak Ridge Rd
Duncan, OK 73533-1389
Phone (580) 641-6388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Certified Nurse Specialist
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 96179 | OK | MD | Clinical Nurse Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1594684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1594684800000",
"number": "1700404910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1847 OAK RIDGE RD",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331389",
"telephone_number": "580-641-6388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1407 N WHISENANT DR",
"city": "DUNCAN",
"state": "OK",
"postal_code": "735331650",
"telephone_number": "580-252-5300",
"fax_number": "580-251-8537"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARDNER",
"first_name": "ELIZABETH",
"middle_name": "DANIELLE",
"credential": "APRN CNS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-14",
"last_updated": "2020-07-14",
"certification_date": "2020-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "364S00000X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist",
"state": "OK",
"license": "96179",
"primary": true
},
{
"code": "364SA2100X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Acute Care",
"state": "OK",
"license": "96179",
"primary": false
},
{
"code": "364SG0600X",
"taxonomy_group": "",
"desc": "Clinical Nurse Specialist, Gerontology",
"state": "OK",
"license": "96179",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Duncan, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 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.