Active NPI
Stephen M-L Tate, HS3
- Student in an Organized Health Care Education/Training Program
- Washington, DC
National Provider Identifier
1730346719
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 24720000X
- Practice address
- 2100 2ND St SW Suit
Comdt (CG-1122) US Coast Guard
Washington, DC 20593 - Phone
- (313) 231-7231
- NPI assigned
- May 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 24720000X | CA | Primary |
Addresses
Primary practice location
2100 2ND St SW Suit
Comdt (CG-1122) US Coast Guard
Washington, DC 20593
Mailing address
2100 2ND St SW Suit
Comdt (CG-1122) US Coast Guard
Washington, DC 20593
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 |
|---|---|---|---|
| 24720000X | CA | MD | Health Information Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1730346719",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2100 2ND ST SW SUIT",
"address_2": "COMDT (CG-1122) US COAST GUARD",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2100 2ND ST SW SUIT",
"address_2": "COMDT (CG-1122) US COAST GUARD",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20593",
"telephone_number": "313-231-7231"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TATE",
"first_name": "STEPHEN",
"middle_name": "M-L",
"name_prefix": "Mr.",
"credential": "HS3",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2008-05-19",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"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 May 19, 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.