Active NPI
Gwendolyn Marie Patterson, RT(R)
- Radiologic Technologist
- Tampa, FL
National Provider Identifier
1497917348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiologic Technologist
- License
- 322240
- Practice address
- 13000 N Bruce B Downs Ave
Tampa, FL 33612 - Phone
- (813) 972-2000
- NPI assigned
- Jul 1, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiologic Technologist | 247100000X | 322240 | FL | Primary |
Addresses
Primary practice location
13000 N Bruce B Downs Ave
Tampa, FL 33612
Mailing address
1049 Windsor Way
Lutz, FL 33559-6738
Phone (813) 948-0850
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
| License | State | Type | Specialty |
|---|---|---|---|
| 322240 | FL | MD | Radiologic Technologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1497917348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 WINDSOR WAY",
"city": "LUTZ",
"state": "FL",
"postal_code": "335596738",
"telephone_number": "813-948-0850"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13000 N BRUCE B DOWNS AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "33612",
"telephone_number": "813-972-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PATTERSON",
"first_name": "GWENDOLYN",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "RT(R)",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-07-01",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "247100000X",
"taxonomy_group": "",
"desc": "Radiologic Technologist",
"state": "FL",
"license": "322240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.