Tanneku Gardner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

PN113538 Issued in OH

Practice address

316 Halton Crossing Dr SW
Concord, NC 28027-9432

Phone

(704) 794-3178

NPI assigned

Aug 20, 2011

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

Practice roles

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.

• Her Diagnostics, LLC

  • Community/Behavioral Health Agency
  • Concord, NC
  • NPI 1770236051
  NPD Authorized official

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

{
    "created_epoch": "1313798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643241600000",
    "number": "1811277940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "316 HALTON CROSSING DR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279432",
            "telephone_number": "704-794-3178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316 HALTON CROSSING DR SW",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280279432",
            "telephone_number": "704-794-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "TANNEKU",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-20",
        "last_updated": "2022-01-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OH",
            "license": "PN113538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lsaun Gandy Jenkins
• Ganglani DMD PLLC
• Kiran Kumar Ganugapenta
• Daniel Thomas Garber, M.D.
• Stephanie Renee Bias Gardner, NP
• Pamela Ellyn Garfinkel, LCSW
• Sarah Elizabeth Garfinkle, PHARM D
• Kelly Hill Garmon, CRNA
• Sandra H Garmon, L.P.C.
• Nicole Lynn Garner, FNP

• Licensed Practical Nurse in Concord, NC
• Providers in Concord, NC by specialty
• Licensed Practical Nurse in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.