NATALIE GARDNER – Speech-Language Pathologist, NPI 1184100042

NATALIE GARDNER is a healthcare provider. based in Long beach, California. specializing in QUALIFIED SPEECH LANGUAGE PATHOLOGIST. They hold a License No. 41145 (CA). The NPI Number for NATALIE GARDNER is 1184100042

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
NATALIE GARDNER
NPI
1184100042
Phone
Not provided
Address
105 ROSWELL AVE APT 3
Enumeration Date
13 July 2018
Last Update Date
17 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5033710779
Graduation Year
2025 (1 year ago)
PAC ID
0547770182
Group Practice PAC ID
5991753592
Professional Enrollment ID
I20250611003205
Address ID
OR973024560SA3220XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:7State licenses:2Digital endpointsOther names

100 QUALIFIED SPEECH LANGUAGE PATHOLOGIST in OR

Provider Addresses for NATALIE GARDNER

  • 105 ROSWELL AVE APT 3

    LONG BEACH, CA 908037621

    Phone:

    Type: Mailing

  • 5590 NE SANDYCREST TER

    PORTLAND, OR 972132640

    Phone: (714) 209-6907

    Type: Location

  • 1110 E CLEVELAND ST

    WOODBURN, OR 970715630

    Phone: (714) 209-6907

    Type: Mailing

  • 3220 LIBERTY RD S

    SALEM, OR 973024560

    Phone: (714) 209-6907

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250611003205IQualified Speech Language PathologistORTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 90803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5991753592View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeMD
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeCA
Occupational Therapist In Private PracticeOR
Physical Therapist In Private PracticeNV
Physical Therapist In Private PracticeOR
Qualified Speech Language PathologistOR

Reviews

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Frequently asked questions

How do I look up NATALIE GARDNER by NPI?
Use NPI 1184100042 when you need to reference NATALIE GARDNER in forms, claims, or directories.
Is NATALIE GARDNER currently active in the NPI registry?
CMS-published data lists NATALIE GARDNER as an active registrant.
What does NATALIE GARDNER treat or focus on?
Patients typically see NATALIE GARDNER under the specialty Speech-Language Pathologist. Clinical services aligned with this taxonomy classification.
What location metadata exists for NATALIE GARDNER?
The page summarizes Long Beach, California for NATALIE GARDNER; expand the address list for detail.
What if Long Beach, California seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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