Individual provider Active NPI

Blane Scott Gaspard, CST,CSFA,CSA

  • Surgical Technologist
  • Murfreesboro, TN
National Provider Identifier
1205249588
Registry record updated Jun 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical TechnologistTaxonomy code 246ZS0410X
License
150335 Issued in TN
Practice address
1800 Medical Center Pkwy Ste 120
Murfreesboro, TN 37129-2568
Phone
(615) 849-7500
NPI assigned
Jun 4, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Technologist 246ZS0410X 4364 TN
Surgical Technologist 246ZS0410X 150335 TN Primary

Addresses

Primary practice location

1800 Medical Center Pkwy Ste 120
Murfreesboro, TN 37129-2568

Mailing address

2339 Tortuga CT
Murfreesboro, TN 37127-6705
Phone (615) 635-9120

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
4364TNMDClinical Social Worker
150335TNMDSurgical Technologist

NPI Registry JSON

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

{
    "created_epoch": "1401840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401840000000",
    "number": "1205249588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2339 TORTUGA CT",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371276705",
            "telephone_number": "615-635-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 MEDICAL CENTER PKWY STE 120",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371292568",
            "telephone_number": "615-849-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GASPARD",
        "first_name": "BLANE",
        "middle_name": "SCOTT",
        "credential": "CST,CSFA,CSA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-04",
        "last_updated": "2014-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TN",
            "license": "4364",
            "primary": false
        },
        {
            "code": "246ZS0410X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Surgical Technologist",
            "state": "TN",
            "license": "150335",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 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.

Verify at the official NPI Registry.