Individual provider Active NPI

Nicole Gotje

  • Magnetic Resonance Imaging Radiologic Technologist
  • Gainesville, FL
National Provider Identifier
1205621372
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging Radiologic TechnologistTaxonomy code 2471M1202X
License
CRT64062 Issued in FL
Practice address
4340 Newberry Rd Ste 104
Gainesville, FL 32607-2557
Phone
(352) 240-6209
NPI assigned
Apr 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging Radiologic Technologist 2471M1202X CRT64062 FL Primary

Addresses

Primary practice location

4340 Newberry Rd Ste 104
Gainesville, FL 32607-2557

Mailing address

4340 Newberry Rd Ste 104
Gainesville, FL 32607-2557
Phone (352) 240-6209

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
CRT64062FLMDMagnetic Resonance Imaging Radiologic Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
Gainesville Open MRI Center Inc PastSince Apr 13, 2025 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1744243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1205621372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 NEWBERRY RD STE 104",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-240-6209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4340 NEWBERRY RD STE 104",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072557",
            "telephone_number": "352-240-6209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOTJE",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-04-10",
        "last_updated": "2025-04-10",
        "certification_date": "2025-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2471M1202X",
            "taxonomy_group": "",
            "desc": "Radiologic Technologist, Magnetic Resonance Imaging",
            "state": "FL",
            "license": "CRT64062",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.