Active NPI
Jason Metcalfe, RPSGT
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- Austin, TX
National Provider Identifier
1669086328
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Respiratory/Developmental/Rehabilitative Specialist/Technologist
- License
- 19983
- Practice address
- 701 Tillery St Ste 12
Austin, TX 78702-3751 - Phone
- (510) 996-2688
- NPI assigned
- Sep 1, 2020
- Last updated
- Sep 1, 2020
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19983 | Other | BOARD OF POLYSOMNOGRAPHIC TECHNOLOGISTS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New 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.