Individual provider Active NPI

Charity Lynn Gardner, ANP

  • Family Nurse Practitioner
  • Amarillo, TX
National Provider Identifier
1730538133
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP131042 Issued in TX
Practice address
1900 Medi Park Dr
Amarillo, TX 79106-2187
Phone
(806) 355-9447
Fax
(806) 356-9251
NPI assigned
Jun 7, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP131042 TX Primary

Addresses

Primary practice location

1900 Medi Park Dr
Amarillo, TX 79106-2187

Mailing address

PO Box 51800
Amarillo, TX 79159-1800
Phone (806) 355-9447

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20160923000656 TX Practitioner - Nurse Practitioner 7315234002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Amarillo Urology Associates LLPGroup PAC ID 5890779227, 14 clinicians

Practice addresses (Care Compare)

1900 Medi Park Dr
Amarillo, TX 79106-2187
Phone (806) 355-9447

Hospital & facility affiliations

  • Bsa Hospital Hospital, Amarillo, TX, CCN 450231

Merit-based Incentive Payment System (MIPS)

Final score
85.27 of 100Reported as group
Quality
77.74
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
AP131042TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Amarillo Urology Associates LLP CurrentSince Oct 1, 2016 Accepting new patients

Locations

1900 Medi Park Dr
Amarillo, TX 79106
Phone (806) 355-9447

1946 Civic Cir
Amarillo, TX 79109

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15926/brand/4/csg/1/fhir/r4

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1730538133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 51800",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791591800",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 MEDI PARK DR",
            "city": "AMARILLO",
            "state": "TX",
            "postal_code": "791062187",
            "telephone_number": "806-355-9447",
            "fax_number": "806-356-9251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "CHARITY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP131042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Amarillo, TX

Sources for this page

Verify at the official NPI Registry.