Polly Elizabeth Gardner, ARNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

AP30003450 Issued in WA

Practice address

1414 116TH Ave NE
Suite E
Bellevue, WA 98004-3801

Phone

(206) 215-4545

Fax

(206) 215-4550

NPI assigned

May 19, 2006

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 identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

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.

• Bellevue Cardiology Clinic PLLC

  • Cardiovascular Disease Physician
  • Bellevue, WA
  • NPI 1790712685
  NPD (past)
• Bellevue Heart and Vascular Center, LLC

  • Cardiovascular Disease Physician
  • Bellevue, WA
  • NPI 1023193687
  NPD (past)
• Overlake Internal Medicine Associates Inc PS

  • Internal Medicine Physician
  • Bellevue, WA
  • NPI 1407896806
  NPD (past)
• Seattle Heart and Vascular Center, LLC

  • Cardiovascular Disease Physician
  • Seattle, WA
  • NPI 1245315894
  NPD (past)

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228435200000",
    "number": "1992759617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2701 1ST AVE",
            "address_2": "SUITE 320",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981211111",
            "telephone_number": "206-448-2516",
            "fax_number": "206-448-6473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 116TH AVE NE",
            "address_2": "SUITE E",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980043801",
            "telephone_number": "206-215-4545",
            "fax_number": "206-215-4550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARDNER",
        "first_name": "POLLY",
        "middle_name": "ELIZABETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "WA",
            "license": "AP30003450",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L & I",
            "identifier": "0211297",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9650797",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keely Garcia
• Melissa Garcia
• Rachel Garcia, PT, DPT
• Aliyah N Gardner
• Gabrielle Eve Gardner, RN
• Bryant Garduque
• Sumi Garg, MFT INTERN
• Tara Nicole Garland
• Carissa Nichole Garrard, LMT
• Gabriel Garrett-Singh

• Nurse Practitioner in Bellevue, WA
• Providers in Bellevue, WA by specialty
• Nurse Practitioner in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2008; 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.