Individual provider Active NPI

Katarzyna Gacki

  • Registered Nurse
  • Garfield HTS, OH
National Provider Identifier
1104156611
Registry record updated Jan 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
316606 Issued in OH
Practice address
10416 S Highland Ave
Garfield HTS, OH 44125-5924
Phone
(216) 581-0957
NPI assigned
Jan 5, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 5, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 316606 OH Primary

Addresses

Primary practice location

10416 S Highland Ave
Garfield HTS, OH 44125-5924

Mailing address

10416 S Highland Ave
Garfield HTS, OH 44125-5924
Phone (216) 581-0957

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

LicenseStateTypeSpecialty
316606OHMDRegistered Nurse

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1262649600000",
    "number": "1104156611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10416 S HIGHLAND AVE",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441255924",
            "telephone_number": "216-581-0957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10416 S HIGHLAND AVE",
            "city": "GARFIELD HTS",
            "state": "OH",
            "postal_code": "441255924",
            "telephone_number": "216-581-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GACKI",
        "first_name": "KATARZYNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-05",
        "last_updated": "2010-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "OH",
            "license": "316606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garfield HTS, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.