1. Home
  2. Directory
  3. NPI Profile

GRANT R GARDNER LPN
NPI 1356779219
Licensed Practical Nurse in Burlington Flats, NY

Active since October 30, 2013
5907 STATE HIGHWAY 51, BURLINGTON FLATS, NY 13315(607) 965-6620 Get Directions Write a Review

NPPES record last updated: October 30, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grant R Gardner Lpn NPPES

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

GRANT R GARDNER LPN (NPI 1356779219) is an individual licensed practical nurse in Burlington Flats, New York, licensed in New York (249313-1) and active in the NPI registry since October 2013.

NPPES Registry Identity

NPI1356779219
Entity TypeIndividualMale
Primary Taxonomy164W00000X
Provider Legal NameGRANT R GARDNERCredential: LPN
Location Address5907 STATE HIGHWAY 51Burlington Flats, NY 13315-2009
Mailing Address5907 State Highway 51Burlington Flats, NY 13315-2009 · (607) 965-6620
Phone(607) 965-6620
Sole ProprietorYes
Enumeration DateOctober 30, 2013
✔ NPI 1356779219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Practical NurseNursing Service Providers
Taxonomy Code164W00000X
License✔ Licensed in NY · 249313-1
Definition
A licensed practical nurse with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.
5907 STATE HIGHWAY 51, Burlington Flats, NY 13315
Open in Google Maps ↗

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 Grant Gardner's NPI number?

The NPI number for Grant Gardner is 1356779219. It was assigned to this individual provider in the NPPES registry on October 30, 2013.

Where is Grant Gardner located?

Grant Gardner practices at 5907 State Highway 51, Burlington Flats, NY 13315. The listed phone number is (607) 965-6620.

What is Grant Gardner's specialty?

The primary specialty registered for this NPI is Licensed Practical Nurse with taxonomy code 164W00000X.

When was this NPI record last updated?

The NPPES record for Grant Gardner was last updated on October 30, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.