Individual provider Active NPI

Kristal Gardiner, FNP-C

  • Family Nurse Practitioner
  • Washington, DC
National Provider Identifier
1912315375
Registry record updated Jul 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN1016163 Issued in DC
Practice address
1310 Southern Ave SE
Washington, DC 20032-4623
Phone
(202) 574-6000
NPI assigned
Jul 30, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN1016163 DC Primary

Addresses

Primary practice location

1310 Southern Ave SE
Washington, DC 20032-4623

Mailing address

2411 Brooke Grove Rd
Mitchellville, MD 20721-1861

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150603001905 DC Practitioner - Nurse Practitioner 0749501609 Reassigns benefits to 8 organizations
I20150605001429 MD Practitioner - Nurse Practitioner 0749501609 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Adventist Physician Services IncGroup PAC ID 4284631540, 144 clinicians

Practice addresses (Care Compare)

10709 Indian Head Hwy
Suite D
Fort Washington, MD 20744-4036
Phone (240) 724-6018

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
M Medical Group, Inc. CurrentSince Feb 10, 2018 Accepting new patients
M Medical Group, Inc. CurrentSince Feb 10, 2018 Accepting new patients
American Current Care PA Current Accepting new patients
Metro Health Services PLLC CurrentSince Mar 26, 2016 Accepting new patients
Medstar Urgent Care LLC CurrentSince Aug 10, 2015 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Aug 11, 2025 Accepting new patients
Medstar Urgent Care LLC CurrentSince Aug 10, 2015 Accepting new patients
Alignmed Partners, PC CurrentSince Jan 2, 2018 Accepting new patients
Medstar Urgent Care LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2016 Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2016 Accepting new patients
Medstar Urgent Care, LLC CurrentSince Aug 10, 2015 Accepting new patients

Locations

3330 Wilkens Ave
Baltimore, MD 21229
Phone (410) 525-1544

6317 York Rd
Baltimore, MD 21212
Phone (443) 777-6890

9106 Pine View Ln
Clinton, MD 20735
Phone (301) 856-2930

7520 Surratts Rd
Clinton, MD 20735
Phone (301) 856-1600

347 Ballenger Center Dr
Frederick, MD 21703
Phone (301) 633-5181

10709 Indian Head Hwy
Ste D
Ft Washington, MD 20744
Phone (240) 493-9650

11711 Livingston Rd
Ft Washington, MD 20744
Phone (301) 203-2250

820 W Diamond Ave
Gaithersburg, MD 20878
Phone (301) 315-3030

820 W Diamond Ave
Ste 500
Gaithersburg, MD 20878

500 Charles St
La Plata, MD 20646
Phone (301) 609-4699

1801 Wentworth Rd
Parkville, MD 21234
Phone (410) 661-5717

9901 Medical Center Dr
Rockville, MD 20850
Phone (301) 279-6000

310 Genesis Way
Ste 600
Severna Park, MD 21146
Phone (410) 544-4220

3227 Bel Pre Rd
Silver Spring, MD 20906
Phone (301) 871-2000

3064 Waldorf Market Pl
Waldorf, MD 20603
Phone (301) 932-5960

200 Memorial Ave
Westminster, MD 21157
Phone (410) 848-3000

11915 Georgia Ave
Wheaton, MD 20902
Phone (301) 942-4505

5080 Spectrum Dr
Ste 1200W
Addison, TX 75001

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1406678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1406678400000",
    "number": "1912315375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2411 BROOKE GROVE RD",
            "city": "MITCHELLVILLE",
            "state": "MD",
            "postal_code": "207211861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 SOUTHERN AVE SE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200324623",
            "telephone_number": "202-574-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDINER",
        "first_name": "KRISTAL",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-30",
        "last_updated": "2014-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "DC",
            "license": "RN1016163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

Verify at the official NPI Registry.