Active NPI
Mary Christine Gatens
- Social Worker
- Fort Myers, FL
National Provider Identifier
1124267026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 2108 Lakeville
Fort Myers, FL 33917 - Phone
- (919) 491-2763
- NPI assigned
- Feb 17, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary | ||
| Developmental Therapist | 222Q00000X |
Addresses
Primary practice location
2108 Lakeville
Fort Myers, FL 33917
Mailing address
2108 Lakeville Dr
Fort Myers, FL 33917-6727
Phone (919) 491-2763
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": "1234828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1283904000000",
"number": "1124267026",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2108 LAKEVILLE DR",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "339176727",
"telephone_number": "919-491-2763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2108 LAKEVILLE",
"city": "FORT MYERS",
"state": "FL",
"postal_code": "33917",
"telephone_number": "919-491-2763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATENS",
"first_name": "MARY",
"middle_name": "CHRISTINE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-02-17",
"last_updated": "2010-09-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
},
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Myers, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 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.