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ALEXANDRA TARA GARDNER
NPI 1003694050
Peer Specialist in Grass Valley, CA

Active since September 20, 2023
16573 OLD AUBURN RD, GRASS VALLEY, CA 95949(530) 273-0631(916) 504-4328 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Alexandra Tara Gardner NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ALEXANDRA TARA GARDNER (NPI 1003694050) is an individual peer specialist in Grass Valley, California and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1003694050
Entity TypeIndividualFemale
Primary Taxonomy175T00000X
Provider Legal NameALEXANDRA TARA GARDNER
Location Address16573 OLD AUBURN RDGrass Valley, CA 95949
Mailing Address16573 Old Auburn RdGrass Valley, CA 95949 · (530) 273-0631 · Fax (916) 504-4328
Phone(530) 273-0631
Fax(916) 504-4328
Sole ProprietorYes
Enumeration DateSeptember 20, 2023
NPPES CertifiedSeptember 19, 2023
✔ NPI 1003694050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPeer SpecialistOther Service Providers
Taxonomy Code175T00000X
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
16573 OLD AUBURN RD, Grass Valley, CA 95949
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexandra Gardner's NPI number?

The NPI number for Alexandra Gardner is 1003694050. It was assigned to this individual provider in the NPPES registry on September 20, 2023.

Where is Alexandra Gardner located?

Alexandra Gardner practices at 16573 Old Auburn Rd, Grass Valley, CA 95949. The listed phone number is (530) 273-0631.

What is Alexandra Gardner's specialty?

The primary specialty registered for this NPI is Peer Specialist with taxonomy code 175T00000X.

When was this NPI record last updated?

The NPPES record for Alexandra Gardner was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.