Patrick Christopher Gartner, R.N.

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

201340322RN Issued in OR

Practice address

958 Garden Grove Drive
Roseburg, OR 97471-9596

Phone

(805) 641-1890

NPI assigned

Feb 16, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1329350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597622400000",
    "number": "1902179252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "958 GARDEN GROVE DRIVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719596",
            "telephone_number": "805-641-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "958 GARDEN GROVE DRIVE",
            "city": "ROSEBURG",
            "state": "OR",
            "postal_code": "974719596",
            "telephone_number": "805-641-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARTNER",
        "first_name": "PATRICK",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "credential": "R.N.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-16",
        "last_updated": "2020-08-17",
        "certification_date": "2020-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "OR",
            "license": "201030517LPN",
            "primary": false
        },
        {
            "code": "164X00000X",
            "taxonomy_group": "",
            "desc": "Licensed Vocational Nurse",
            "state": "CA",
            "license": "235539",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OR",
            "license": "201340322RN",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Serina Gardin, HOLISTIC NUTRITIONIS
• Amber Lynn Gardner
• Brittney Gardner
• Vikas Garg, MD
• Amanda Garner, PA
• Mary L Garvey, M.S. PHARM
• Timothy Lawrence Garvey Jr., PA-C
• Mary Christine Garwood, FNP
• Lachelle T Garza, LPC
• Richard Francis Gates Jr., RN

• Registered Nurse in Roseburg, OR
• Providers in Roseburg, OR by specialty
• Registered Nurse in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2020; 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.