MS. LEAETTA MILDRED GARDNER LPN/ADM
NPI 1518303296
Nursing Facility/Intermediate Care Facility in Rolla, MO

Q: What is Leaetta Gardner's NPI number?

The NPI number for Leaetta Gardner is 1518303296. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Q: What is Leaetta Gardner's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

Q: When was this NPI record last updated?

The NPPES record for Leaetta Gardner was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 21, 2013

13450 COUNTY ROAD 7040, ROLLA, MO 65401(573) 341-8000(573) 426-3964 Get Directions Write a Review

NPPES record last updated: May 21, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Ms. Leaetta Mildred Gardner Lpn/adm NPPES

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

MS. LEAETTA MILDRED GARDNER LPN/ADM (NPI 1518303296) is an individual nursing facility/intermediate care facility provider in Rolla, Missouri and active in the NPI registry since May 2013.

NPPES Registry Identity

NPI1518303296

Entity TypeIndividualFemale

Primary Taxonomy313M00000X

Provider Legal NameMS. LEAETTA MILDRED GARDNERCredential: LPN/ADM

Location Address13450 COUNTY ROAD 7040Rolla, MO 65401

Mailing Address13450 County Road 7040Rolla, MO 65401

Phone(573) 341-8000

Fax(573) 426-3964

Sole ProprietorYes

Enumeration DateMay 21, 2013

✔ NPI 1518303296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNursing Facility/Intermediate Care FacilityNursing & Custodial Care Facilities

Taxonomy Code313M00000X

Definition

An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

13450 COUNTY ROAD 7040, Rolla, MO 65401

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 Leaetta Gardner's NPI number?

The NPI number for Leaetta Gardner is 1518303296. It was assigned to this individual provider in the NPPES registry on May 21, 2013.

Where is Leaetta Gardner located?

Leaetta Gardner practices at 13450 County Road 7040, Rolla, MO 65401. The listed phone number is (573) 341-8000.

What is Leaetta Gardner's specialty?

The primary specialty registered for this NPI is Nursing Facility/Intermediate Care Facility with taxonomy code 313M00000X.

When was this NPI record last updated?

The NPPES record for Leaetta Gardner was last updated on May 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.