Kerry Lynn Gardner, LPN

Primary specialty

Licensed Practical NurseTaxonomy code 164W00000X

License

LP00058062 Issued in WA

Practice address

14016 A St S
Tacoma, WA 98444-4662

Phone

(253) 503-3649

Fax

(253) 292-1629

NPI assigned

Nov 12, 2011

Last updated

Jul 29, 2023By 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

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": "1321056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690588800000",
    "number": "1841577301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1509 HARRISON AVE",
            "city": "CENTRALIA",
            "state": "WA",
            "postal_code": "985314568",
            "telephone_number": "360-736-0112",
            "fax_number": "360-736-9252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14016 A ST S",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984444662",
            "telephone_number": "253-503-3649",
            "fax_number": "253-292-1629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "KERRY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LPN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-12",
        "last_updated": "2023-07-29",
        "certification_date": "2023-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "WA",
            "license": "LP00058062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bradley Clark Gardiner, MD
• Lori Williams Gardiner, NP
• Brandon Isaac Gardner, D.O., M.P.H.
• Janice Elaine Gardner, RN
• Jean Gardner
• Lesa Gardner, LMP
• Sabrina Villanueva Gardner
• Nupur Garg, D.O.
• Daniel Garibay, RPH
• Michelle Gariglio

• Licensed Practical Nurse in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Licensed Practical Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2023; 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.