Active NPI
Lance Geoffrey Gatter, ATC
- Specialist
- Bellevue, WA
National Provider Identifier
1073726477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- Practice address
- 11650 SE 60TH Street
Bellevue, WA 98006 - Phone
- (425) 283-1221
- NPI assigned
- May 8, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | Primary |
Addresses
Primary practice location
11650 SE 60TH Street
Bellevue, WA 98006
Mailing address
117 15TH Avenue
Kirkland, WA 98033
Phone (425) 283-1221
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-0533 | Other | WA | CERTIFIED ATHLETICTRAINER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178582400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073726477",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "117 15TH AVENUE",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "98033",
"telephone_number": "425-283-1221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11650 SE 60TH STREET",
"city": "BELLEVUE",
"state": "WA",
"postal_code": "98006",
"telephone_number": "425-283-1221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATTER",
"first_name": "LANCE",
"middle_name": "GEOFFREY",
"name_prefix": "Mr.",
"credential": "ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CERTIFIED ATHLETICTRAINER",
"identifier": "10-0533",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.