Individual provider Active NPI

Reanna Nicole Gardner, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Henderson, NV
National Provider Identifier
1932882172
Registry record updated Mar 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
821464 Issued in NV
Practice address
305 N Pecos Rd
Henderson, NV 89074-1351
Phone
(702) 463-1665
NPI assigned
Aug 14, 2023
Last updated
Mar 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 821464 NV Primary

Addresses

Primary practice location

305 N Pecos Rd
Henderson, NV 89074-1351

Mailing address

305 N Pecos Rd Ste F
Henderson, NV 89074-1352
Phone (702) 463-1665

Other practice location 1

3170 W Sahara Ave Ste D11
Las Vegas, NV 89102-6004
Phone (702) 478-6983

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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 1

Enrollment IDStateProvider typePAC IDDetails
I20231031002520 NV Practitioner - Nurse Practitioner 4385090190 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

305 N Pecos Rd
Suite F
Henderson, NV 89074-1352
Phone (702) 463-1665

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
821464NVMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
We Care Health Care LLC CurrentSince Oct 1, 2023 Accepting new patients
Linda Hawley, L.L.C. CurrentSince Mar 12, 2024 Accepting new patients
Access Nevada Psychiatry Psychiatric/Mental Health CurrentSince Jul 1, 2024 Accepting new patients
Steadfast Behavioral Clinic LLC Psychiatric/Mental Health CurrentSince Oct 1, 2023 Accepting new patients

Locations

305 N Pecos Rd
Henderson, NV 89074
Phone (702) 463-1665

305 N Pecos Rd
Ste F
Henderson, NV 89074
Phone (702) 463-1665

3150 W Sahara Ave
Ste B11
Las Vegas, NV 89102
Phone (702) 580-4574

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709769600000",
    "number": "1932882172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD STE F",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741352",
            "telephone_number": "702-463-1665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 N PECOS RD",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890741351",
            "telephone_number": "702-463-1665"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3170 W Sahara Ave Ste D11",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891026004",
            "country_code": "US",
            "telephone_number": "702-478-6983",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "REANNA",
        "middle_name": "NICOLE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-14",
        "last_updated": "2024-03-07",
        "certification_date": "2024-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NV",
            "license": "821464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henderson, NV

Sources for this page

Verify at the official NPI Registry.