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TIA SIMONE GARDNER
NPI 1679155014
Student in an Organized Health Care Education/Training Program in Waterbury, CT

Active since April 26, 2021
402 E MAIN ST, WATERBURY, CT 06702(203) 574-9000(203) 574-9006 Get Directions Write a Review

NPPES record last updated: April 26, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tia Simone Gardner NPPES

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

TIA SIMONE GARDNER (NPI 1679155014) is an individual student in an organized health care education/training program in Waterbury, Connecticut and active in the NPI registry since April 2021.

NPPES Registry Identity

NPI1679155014
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameTIA SIMONE GARDNER
Location Address402 E MAIN STWaterbury, CT 06702-1701
Mailing Address141 E Main StWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006
Phone(203) 574-9000
Fax(203) 574-9006
Sole ProprietorNo
Enumeration DateApril 26, 2021
NPPES CertifiedApril 26, 2021
✔ NPI 1679155014 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
402 E MAIN ST, Waterbury, CT 06702
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Other Providers at the Same Location NPPES 20

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

SHALAYA SHAZEL
Community Health Worker
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
ERIN LAGE BS
Case Manager/Care Coordinator
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
ERIN L BREDEFELD LPC
Counselor (Professional)
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
ROBERT ALLEGRINI M.ED, BA
Counselor
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
MR. AKIVA SCHMOOKLER LCSW
Social Worker (Clinical)
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 574-9000
VIVIAN CIPRIAN
Student in an Organized Health Care Education/Training Program
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
KATE KANAKIS COUNSELOR
Counselor
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143
STEPHANIE FIGUEROA CLINICAL SOCIAL WORK
Social Worker (Clinical)
402 E MAIN ST
WATERBURY, CT 06702
Naugatuck Valley Planning Region (203) 755-1143

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 Tia Simone Gardner's NPI number?

The NPI number for Tia Simone Gardner is 1679155014. It was assigned to this individual provider in the NPPES registry on April 26, 2021.

Where is Tia Simone Gardner located?

Tia Simone Gardner practices at 402 E Main St, Waterbury, CT 06702. The listed phone number is (203) 574-9000.

What is Tia Simone Gardner'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 Tia Simone Gardner was last updated on April 26, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.