Naelah Gardner, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

PMH11240046 Issued in IN

Practice address

1000 W 6TH Ave
Gary, IN 46402

Phone

(219) 885-4264

NPI assigned

Dec 23, 2024

Last updated

Dec 23, 2024By 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

Medicare fee-for-service enrollment

Enrolled in IN

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

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: naelah.gardner.p1@direct.edgewater.nextgenshare.com

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

• Edgewater Systems for Balanced Living, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Gary, IN
  • NPI 1588705784
  Medicare reassignment NPD
• Edgewater Systems for Balanced Living, Inc

  • Federally Qualified Health Center (FQHC)
  • Gary, IN
  • NPI 1093670648
  NPD
• Edgewater Systems for Balanced Living, Inc

  dba Edgewater Health - Turning Point

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Gary, IN
  • NPI 1568955037
  NPD

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1730997784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4112 WABASH AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463271220",
            "telephone_number": "773-387-5528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 W 6TH AVE",
            "city": "GARY",
            "state": "IN",
            "postal_code": "46402",
            "telephone_number": "219-885-4264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "NAELAH",
        "credential": "PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-23",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "IN",
            "license": "PMH11240046",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshlyn M Gaines, CNA
• Andrea Shantal Galloway
• Cynthia Galvan, M.D.
• Crystal Nicole Garcia, LMHC, LCACA, NCC
• Marie Garcia, RPT
• Timothy F Gardner, NP
• Gary City Working and Procedure Clinic LLC-S
• Gary Community Schools Corportion
• Gary Health Department (Maternal Child Health Clinic)
• Gary Health Department (Maternal Child Health Clinic)

• Psychiatric/Mental Health Nurse Practitioner in Gary, IN
• Providers in Gary, IN by specialty
• Psychiatric/Mental Health Nurse Practitioner in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; 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.