Individual provider Active NPI

Emily Gortner

  • Behavior Technician
  • San Diego, CA
National Provider Identifier
1659917532
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Behavior TechnicianTaxonomy code 106S00000X
License
RBT-19-108654 Issued in CA
Practice address
9245 Activity Rd Ste 106
San Diego, CA 92126-4442
Phone
(858) 428-0222
NPI assigned
Nov 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X CA
Student in an Organized Health Care Education/Training Program 390200000X CA
Behavior Technician 106S00000X RBT-19-108654 CA Primary

Addresses

Primary practice location

9245 Activity Rd Ste 106
San Diego, CA 92126-4442

Mailing address

5639 Amaya Dr Apt 293
La Mesa, CA 91942-3695
Phone (515) 783-7638

Other practice location 1

6160 Mission Gorge Rd Ste 108
San Diego, CA 92120-3425
Phone (619) 481-5200

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Egortner@excitesteps.com

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
RBT-19-108654CAMDBehavior Technician

Practice roles

OrganizationSpecialtyStatusNew patients
Xcite Steps, LLC PastSince Aug 28, 2022 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": "1574726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607990400000",
    "number": "1659917532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5639 AMAYA DR APT 293",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423695",
            "telephone_number": "515-783-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9245 ACTIVITY RD STE 106",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921264442",
            "telephone_number": "858-428-0222"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6160 Mission Gorge Rd Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921203425",
            "country_code": "US",
            "telephone_number": "619-481-5200",
            "fax_number": "619-481-5217",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORTNER",
        "first_name": "EMILY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-26",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-19-108654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Egortner@excitesteps.com",
            "affiliation": "N",
            "endpointDescription": "Confidential Work Email",
            "address_1": "9245 Activity Rd Ste 106",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921264442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.