Shannon Leigh Gardner, NP
Nurse Practitioner, Acute Care in Charlotte, NC. Individual provider (NPI-1).
NPI number1902270366
StatusActive
Last updated in NPPESJul 15, 2024
Details
- NPI
- 1902270366
- Entity type
- Individual (NPI-1)
- Name
- Shannon Leigh Gardner
- Credential
- NP
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 23, 2015
- Certification date
- Dec 13, 2023
- Last updated
- Jul 15, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - NURSE PRACTITIONER
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363LA2100X | Nurse Practitioner, Acute Care | 5010776 | NC | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | 5010776 | NC | |
| 363L00000X | Nurse Practitioner | 5010776 | NC |
Practice location
1001 Blythe BlvdCharlotte, NC 28203-5866
Phone 704-381-9900
Mailing address
Po Box 19305Charlotte, NC 28219-9305
Other practice locations
1001 Blythe Blvd
Charlotte, NC 28203-5866
Charlotte, NC 28203-5866
Phone 704-381-9900
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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