Individual provider Active NPI

Darrielle Lynne Stickler Gatson, RDH

  • Dental Hygienist
  • Gaithersburg, MD
National Provider Identifier
1447559828
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental HygienistTaxonomy code 124Q00000X
License
5881 Issued in MD
Practice address
200 Girard St
Suite 206
Gaithersburg, MD 20877-3466
Phone
(240) 720-0510
Fax
(240) 631-2280
NPI assigned
Mar 24, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Hygienist 124Q00000X 5881 MD Primary

Addresses

Primary practice location

200 Girard St
Suite 206
Gaithersburg, MD 20877-3466

Mailing address

15850 Crabbs Branch Way
Suite 350
Rockville, MD 20855-2622
Phone (240) 499-2636

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
5881MDMDDental Hygienist

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300924800000",
    "number": "1447559828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15850 CRABBS BRANCH WAY",
            "address_2": "SUITE 350",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208552622",
            "telephone_number": "240-499-2636",
            "fax_number": "240-499-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GIRARD ST",
            "address_2": "SUITE 206",
            "city": "GAITHERSBURG",
            "state": "MD",
            "postal_code": "208773466",
            "telephone_number": "240-720-0510",
            "fax_number": "240-631-2280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STICKLER GATSON",
        "first_name": "DARRIELLE",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "RDH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "MD",
            "license": "5881",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gaithersburg, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.