Individual provider Active NPI

Nikki Dawn Gardepe

  • Day Training/Habilitation Specialist
  • Ridgecrest, CA
National Provider Identifier
1801370739
Registry record updated Apr 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Day Training/Habilitation SpecialistTaxonomy code 373H00000X
Practice address
1141 Chelsea St
Ridgecrest, CA 93555-3208
Phone
(760) 463-2880
Fax
(760) 446-0298
NPI assigned
Sep 17, 2018
Last updated
Apr 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Day Training/Habilitation Specialist 373H00000X NU Primary
Community Health Worker 172V00000X NU

Addresses

Primary practice location

1141 Chelsea St
Ridgecrest, CA 93555-3208

Mailing address

1141 Chelsea St
Ridgecrest, CA 93555-3208
Phone (760) 463-2880

Other practice location 1

1400 N Norma St
Ridgecrest, CA 93555-2575
Phone (760) 499-7406

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

NPI Registry JSON

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

{
    "created_epoch": "1537142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745366400000",
    "number": "1801370739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1141 CHELSEA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553208",
            "telephone_number": "760-463-2880",
            "fax_number": "760-446-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 CHELSEA ST",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "935553208",
            "telephone_number": "760-463-2880",
            "fax_number": "760-446-0298"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 N Norma St",
            "address_purpose": "LOCATION",
            "city": "Ridgecrest",
            "state": "CA",
            "postal_code": "935552575",
            "country_code": "US",
            "telephone_number": "760-499-7406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDEPE",
        "first_name": "NIKKI",
        "middle_name": "DAWN",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-17",
        "last_updated": "2025-04-23",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2025; 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.