K A GARDNER PLLC
NPI 1609241488
Nurse Practitioner - Psychiatric/Mental Health in Fort Worth, TX

Active since December 05, 2015
3109 6TH AVE STE B, FORT WORTH, TX 76110(682) 312-7339 Get Directions Write a Review

NPPES record last updated: December 5, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About K A Gardner Pllc NPPES

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

K A GARDNER PLLC (NPI 1609241488) is a healthcare organization registered as a psychiatric/mental health in Fort Worth, Texas and active in the NPI registry since December 2015. The organization lists Kimberley Gardner, Owner/provider, as its authorized official.

NPPES Registry Identity

NPI1609241488
Entity TypeOrganization
Primary Taxonomy363LP0808X
Legal Business NameK A GARDNER PLLC
Location Address3109 6TH AVE STE BFort Worth, TX 76110-3800
Mailing Address1210 Powder River TrlSouthlake, TX 76092-3231
Organization SubpartNo
Authorized OfficialKimberley GardnerOwner/provider · (817) 269-1169
Enumeration DateDecember 5, 2015
NPI 1609241488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License Licensed in TX · AP129382
3109 6TH AVE STE B, Fort Worth, TX 76110

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant
3109 6TH AVE STE B
FORT WORTH, TX 76110
Nurse Practitioner (Psychiatric/Mental Health)
3109 6TH AVE STE B
FORT WORTH, TX 76110
Social Worker (Clinical)
3109 6TH AVE STE B
FORT WORTH, TX 76110
Physician Assistant
3109 6TH AVE STE B
FT WORTH, TX 76110
Nurse Practitioner (Psychiatric/Mental Health)
3109 6TH AVE STE B
FT WORTH, TX 76110
Psychiatry & Neurology (Psychiatry)
3109 6TH AVE STE B
FT WORTH, TX 76110
Nurse Practitioner (Psychiatric/Mental Health)
3109 6TH AVE STE B
FORT WORTH, TX 76110

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 K A Gardner PLLC's NPI number?

The NPI number for K A Gardner PLLC is 1609241488. It was assigned to this organization in the NPPES registry on December 5, 2015.

Where is K A Gardner PLLC located?

K A Gardner PLLC is located at 3109 6th Ave Ste B, Fort Worth, TX 76110. The listed phone number is (682) 312-7339.

What is K A Gardner PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for K A Gardner PLLC was last updated on December 5, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.