Individual provider Active NPI

Jason Metcalfe, RPSGT

  • Respiratory/Developmental/Rehabilitative Specialist/Technologist
  • Austin, TX
National Provider Identifier
1669086328
Registry record updated Sep 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respiratory/Developmental/Rehabilitative Specialist/TechnologistTaxonomy code 225500000X
License
19983 Issued in NU
Practice address
701 Tillery St Ste 12
Austin, TX 78702-3751
Phone
(510) 996-2688
NPI assigned
Sep 1, 2020
Last updated
Sep 1, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 1, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Respiratory/Developmental/Rehabilitative Specialist/Technologist 225500000X 19983 NU Primary
Other Specialist/Technologist 246Z00000X 19983 NU
Health Educator 174H00000X NU

Addresses

Primary practice location

701 Tillery St Ste 12
Austin, TX 78702-3751

Mailing address

701 Tillery St Ste 12
Austin, TX 78702-3751
Phone (510) 996-2688

Other practice location 1

1161 Renaissance Trl
Round Rock, TX 78665-4027
Phone (617) 996-2688

Other identifiers 1

IdentifierTypeStateIssuer
19983OtherBOARD OF POLYSOMNOGRAPHIC TECHNOLOGISTS

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL EMR Health Information Exchange (HIE)

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

Practice roles

OrganizationSpecialtyStatusNew patients
Snooze Laboratories, Inc Current Accepting new patients

Locations

701 Tillery St
Ste 12
Austin, TX 78702
Phone (512) 270-9622

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598918400000",
    "number": "1669086328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 TILLERY ST STE 12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023751",
            "telephone_number": "510-996-2688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 TILLERY ST STE 12",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787023751",
            "telephone_number": "510-996-2688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1161 Renaissance Trl",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786654027",
            "country_code": "US",
            "telephone_number": "617-996-2688",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "METCALFE",
        "first_name": "JASON",
        "credential": "RPSGT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-01",
        "last_updated": "2020-09-01",
        "certification_date": "2020-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225500000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist",
            "state": "NU",
            "license": "19983",
            "primary": true
        },
        {
            "code": "246Z00000X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other",
            "state": "NU",
            "license": "19983",
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF POLYSOMNOGRAPHIC TECHNOLOGISTS",
            "identifier": "19983",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "EMR",
            "affiliation": "N",
            "endpointDescription": "EMR - Advanced MD",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "701 Tillery St Ste 12",
            "city": "Austin",
            "state": "TX",
            "country_code": "US",
            "postal_code": "787023751",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.