Dawn Rae Gardner, R,N

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

19363 Issued in WY

Practice address

29 Black Coal Dr
Fort Washakie, WY 82514-0000

Phone

(307) 840-2537

Fax

(307) 332-0131

NPI assigned

Mar 2, 2010

Last updated

Mar 2, 2010By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267488000000",
    "number": "1770806093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1275",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825141275",
            "telephone_number": "307-840-2537",
            "fax_number": "307-332-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 BLACK COAL DR",
            "city": "FORT WASHAKIE",
            "state": "WY",
            "postal_code": "825140000",
            "telephone_number": "307-840-2537",
            "fax_number": "307-332-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "DAWN",
        "middle_name": "RAE",
        "credential": "R,N",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-02",
        "last_updated": "2010-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "WY",
            "license": "19363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eastern Shoshone Tribe
• Jill Renee Erickson, RDH
• Robin Fiske, RN
• Fort Washakie Health Center Pharmacy
• Garth Nelson Foster, P.T.
• Karen Fay Gibson, MLS (MT,CLS)
• Nancy Ann Gilbert, R.N.
• Erica Rose Golon
• Deana Lin Gudmundsen, COTA/L
• Jenaneta S. Hampton, FNP-C

• Registered Nurse in Fort Washakie, WY
• Providers in Fort Washakie, WY by specialty
• Registered Nurse in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.