Mervel Delores Gardner

Primary specialty

Hospice Registered NurseTaxonomy code 163WH1000X

License

9457121 Issued in FL

Practice address

4200 6TH Ave SE
Lacey, WA 98503-1042

Phone

(360) 459-8311

NPI assigned

Dec 26, 2024

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

Other names 1

• Mervel Delores Gardner Former name

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.

• Providence Health & Services Washington

  • Home Health Agency
  • Lacey, WA
  • NPI 1063415198
  NPD (past)

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

{
    "created_epoch": "1735171200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735171200000",
    "number": "1912715608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4200 6TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031042",
            "telephone_number": "360-459-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 6TH AVE SE",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031042",
            "telephone_number": "360-459-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "MERVEL",
        "middle_name": "DELORES",
        "name_prefix": "Miss",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-26",
        "last_updated": "2024-12-26",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WH1000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Hospice",
            "state": "FL",
            "license": "9457121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MERVEL",
            "last_name": "GARDNER",
            "middle_name": "DELORES",
            "credential": "SALMON-REID",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nora Gant, ARNP, MN
• Alejandra Garcia
• Anna Garcia, LHMC
• Michelle Fisher Garcia, PT
• Sirfiati Garcia
• Marquelle Renee Garibay, LMT
• Ashley Rashell Garrard
• Katie Nicole Gaskins, LICSW
• Samuel Wairegi Gathura
• Bryan Keith Gauck, LPN

• Hospice Registered Nurse in Lacey, WA
• Providers in Lacey, WA by specialty
• Hospice Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2024; 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.