JASON GARDENIER
NPI 1164712162
Student in an Organized Health Care Education/Training Program in Vienna, VA

Active since April 11, 2011
115 SAINT ANDREWS DR NE, VIENNA, VA 22180(703) 389-3020 Get Directions Write a Review

NPPES record last updated: April 11, 2011. Verified against the NPPES registry weekly; last sync: September 13, 2026.

About Jason Gardenier NPPES

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

JASON GARDENIER (NPI 1164712162) is an individual student in an organized health care education/training program in Vienna, Virginia and active in the NPI registry since April 2011.

NPPES Registry Identity

NPI1164712162
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJASON GARDENIER
Location Address115 SAINT ANDREWS DR NEVienna, VA 22180-3660
Mailing Address115 Saint Andrews Dr NeVienna, VA 22180-3660 · (703) 389-3020
Sole ProprietorYes
Enumeration DateApril 11, 2011
NPI 1164712162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
115 SAINT ANDREWS DR NE, Vienna, VA 22180

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 Jason Gardenier's NPI number?

The NPI number for Jason Gardenier is 1164712162. It was assigned to this individual provider in the NPPES registry on April 11, 2011.

Where is Jason Gardenier located?

Jason Gardenier practices at 115 Saint Andrews Dr NE, Vienna, VA 22180. The listed phone number is (703) 389-3020.

What is Jason Gardenier's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Jason Gardenier was last updated on April 11, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.