Patti Gardner PC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

111008 Issued in NE

Legal business name

PATTI GARDNER PC

Practice address

4444 South 86TH St
Suite 102
Lincoln, NE 68526-9253

Phone

(402) 476-7557

Fax

(402) 476-9912

NPI assigned

Jan 13, 2014

Organization subpart

No

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

Authorized official

Name

Patti F Gardner, APRN

Title

Owner

Phone

(402) 476-7557

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Tax ID family

Dianna Clyne MD PC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Dianna Clyne MD PC

  • Specialist
  • Lincoln, NE
  • NPI 1164618666
  NPD tax ID

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patricia Fike Gardner, CNM, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Lincoln, NE
  • NPI 1588879662
  Medicare reassignment

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

{
    "created_epoch": "1389571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1730501602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4444 SOUTH 86TH ST",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269253",
            "telephone_number": "402-476-7557",
            "fax_number": "402-476-9912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4444 SOUTH 86TH ST",
            "address_2": "SUITE 102",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685269253",
            "telephone_number": "402-476-7557",
            "fax_number": "402-476-9912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATTI GARDNER PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-13",
        "last_updated": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "PATTI",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "402-476-7557",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NE",
            "license": "111008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10026386502",
            "state": "NE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1588879662",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jody Marie Patterson
• Johnita Patterson
• Marty Dewayne Patterson
• Roni Jo Patterson
• Stephanie Patterson
• Perian Pattillo
• Laurie Nystrom Patton, MS LIMHP LPC
• Wendy Patton
• Michelle Patz-Carel
• Theresa A Patzel

• Psychiatric/Mental Health Nurse Practitioner in Lincoln, NE
• Providers in Lincoln, NE by specialty
• Psychiatric/Mental Health Nurse Practitioner in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.