Gateway Community Initiative, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GATEWAY COMMUNITY INITIATIVE, INC

Practice address

111 Windel Dr
205
Raleigh, NC 27609-4475

Phone

(919) 896-4380

Fax

(800) 991-0902

NPI assigned

Jul 26, 2010

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Angela S Parker, MSW, PLCSW, LCASNPI 1346442209

Title

Clinical Director

Phone

(919) 896-4380

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela Stallworth Parker, MSW, LCSW, LCAS

  • Clinical Social Worker
  • NPI 1346442209
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1280102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1280102400000",
    "number": "1104130632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2510 GARDEN HILL DR",
            "address_2": "303",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276146899",
            "telephone_number": "919-896-4380",
            "fax_number": "800-991-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 WINDEL DR",
            "address_2": "205",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276094475",
            "telephone_number": "919-896-4380",
            "fax_number": "800-991-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GATEWAY COMMUNITY INITIATIVE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-26",
        "last_updated": "2010-07-26",
        "status": "A",
        "authorized_official_last_name": "PARKER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "919-896-4380",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, PLCSW, LCAS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NC",
            "license": null,
            "primary": true
        },
        {
            "code": "251V00000X",
            "taxonomy_group": "",
            "desc": "Voluntary or Charitable",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6112104",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Maria Estela Gaston, LCSW-A
• Gastrointestinal Healthcare PA
• Gastrointestinal Healthcare PA
• Alexa C Gaters, PA-C
• Robbie Dean Gates, PT, DPT, CSCS
• Tammia Antoinette Gatlin, LPN
• Brittney Latavia Gatling
• Destiny Kyara Lashae Gattis, RBT
• Porcia Gattling
• Shashank Reddy Gattumeedhi, DDS

• Community/Behavioral Health Agency in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Community/Behavioral Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.