Active NPI
Gary Dale Kirschner, NA-R, NA-C, RT
- Student in an Organized Health Care Education/Training Program
- Woodinville, WA
National Provider Identifier
1093126567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 24230 85TH Ave SE
Woodinville, WA 98072-9525 - Phone
- (206) 618-1803
- NPI assigned
- May 18, 2014
- Last updated
- May 18, 2014
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | XT60472548 | WA | |
| Attendant Care Provider | 3747A0650X | NC60326425 | WA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | WA | Primary |
Addresses
Primary practice location
24230 85TH Ave SE
Woodinville, WA 98072-9525
Mailing address
24230 85TH Ave SE
Woodinville, WA 98072-9525
Phone (206) 618-1803
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| XT60472548 | WA | MD | Radiologic Technologist |
| NC60326425 | WA | MD | Attendant Care Provider |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1400371200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1400371200000",
"number": "1093126567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24230 85TH AVE SE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980729525",
"telephone_number": "206-618-1803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24230 85TH AVE SE",
"city": "WOODINVILLE",
"state": "WA",
"postal_code": "980729525",
"telephone_number": "206-618-1803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRSCHNER",
"first_name": "GARY",
"middle_name": "DALE",
"name_prefix": "Mrs.",
"credential": "NA-R, NA-C, RT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-05-18",
"last_updated": "2014-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "WA",
"license": "XT60472548",
"primary": false
},
{
"code": "3747A0650X",
"taxonomy_group": "",
"desc": "Technician, Attendant Care Provider",
"state": "WA",
"license": "NC60326425",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "WA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodinville, WA
- Mikyung Kim, LMHC
- Soo Hyun Kim, DDS
- Melissa Lynn Kindahl, ARNP
- Kirkland Eye Clinic, P.S. (Bothell Vision Center)
- Kirkland Health & Wellness PLLC (Lake Stevens Family Medicine & Skin Clinic)
- Colleen Daly Knight, N.D.
- Kristen Kay Knox, MD
- Maegan Knutson, ND
- Koczarski Aesthetic & Laser Dentistry
- Michael John Koczarski, DDS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.