NPIMap

Organization Active NPI

David D. Gerardot, LLC

  • Adult Psychiatric/Mental Health Registered Nurse
  • Olympia, WA
National Provider Identifier
1245270693
Registry record updated Mar 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0809X
License
AP30006965 Issued in WA
Legal business name
DAVID D. GERARDOT, LLC
Practice address
1800 Cooper Point Rd SW
Building #17
Olympia, WA 98502-1178
Phone
(360) 352-1667
Fax
(360) 705-1350
NPI assigned
Jun 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2009

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

Authorized official

Name
Dr. David D Gerardot, PH.D., ARNPNPI 1467623520
Title
Psychiatric Nurse Practitioner
Phone
(360) 352-1668

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X LH00003805 WA
Adult Psychiatric/Mental Health Registered NurseGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 163WP0809X AP30006965 WA Primary

Addresses

Primary practice location

1800 Cooper Point Rd SW
Building #17
Olympia, WA 98502-1178

Mailing address

1800 Cooper Point Rd SW
Building #17
Olympia, WA 98502-1178
Phone (360) 352-1667

National Provider Directory

National Provider Directory

Locations

1800 Cooper Point Rd SW
Bldg 18B
Olympia, WA 98502
Phone (360) 352-1668

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237766400000",
    "number": "1245270693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BUILDING #17",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-352-1667",
            "fax_number": "360-705-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 COOPER POINT RD SW",
            "address_2": "BUILDING #17",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985021178",
            "telephone_number": "360-352-1667",
            "fax_number": "360-705-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID D. GERARDOT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-07",
        "last_updated": "2009-03-23",
        "status": "A",
        "authorized_official_last_name": "GERARDOT",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "360-352-1668",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., ARNP"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "WA",
            "license": "LH00003805",
            "primary": false
        },
        {
            "code": "163WP0809X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Adult",
            "state": "WA",
            "license": "AP30006965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2009; 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.