Active NPI
Jayson Luke Gatzke, HS
- Other Technician
- Washington, DC
National Provider Identifier
1659341220
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Technician
- License
- 24720000X
- Practice address
- Comdt (CG-1122), US Coast Guard, 2100 2ND St SW
Suite 5314
Washington, DC 20593-0001 - Phone
- (202) 267-0801
- NPI assigned
- Jan 25, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Other Technician | 247200000X | 24720000X | DC | Primary |
Addresses
Primary practice location
Comdt (CG-1122), US Coast Guard, 2100 2ND St SW
Suite 5314
Washington, DC 20593-0001
Mailing address
Comdt (CG-1122), US Coast Guard, 2100 2ND St SW
Suite 5314
Washington, DC 20593-0001
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
- Credentials
- High School Graduate
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24720000X | DC | MD | Other Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138147200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1238457600000",
"number": "1659341220",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "COMDT (CG-1122), US COAST GUARD, 2100 2ND ST SW",
"address_2": "SUITE 5314",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205930001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "COMDT (CG-1122), US COAST GUARD, 2100 2ND ST SW",
"address_2": "SUITE 5314",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "205930001",
"telephone_number": "202-267-0801"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATZKE",
"first_name": "JAYSON",
"middle_name": "LUKE",
"credential": "HS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-25",
"last_updated": "2009-03-31",
"status": "A"
},
"taxonomies": [
{
"code": "247200000X",
"taxonomy_group": "",
"desc": "Technician, Other",
"state": "DC",
"license": "24720000X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Washington, DC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.