Active NPI
Joycelyn Copeland Gatling, DPM
- Podiatrist
- Washington, DC
National Provider Identifier
1740379890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 398
- Practice address
- 1380 Southern Ave SE
Washington, DC 20032 - Phone
- (301) 249-4716
- NPI assigned
- Oct 12, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 398 | DC | Primary |
| Podiatrist | 213E00000X | 635 | VA |
Addresses
Primary practice location
1380 Southern Ave SE
Washington, DC 20032
Mailing address
1403 Merganser Court
Upper Marlboro, MD 20774
Phone (301) 249-4716
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 010877800 | Medicaid | DC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100622000615 | DC | Practitioner - Podiatry | 8921139809 | Practice locations: Washington, DC |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 635 | VA | MD | Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1345766400000",
"number": "1740379890",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1403 MERGANSER COURT",
"city": "UPPER MARLBORO",
"state": "MD",
"postal_code": "20774",
"telephone_number": "301-249-4716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1380 SOUTHERN AVE SE",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "20032",
"telephone_number": "301-249-4716"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GATLING",
"first_name": "JOYCELYN",
"middle_name": "COPELAND",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-12",
"last_updated": "2012-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DC",
"license": "398",
"primary": true
},
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "VA",
"license": "635",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "010877800",
"state": "DC"
}
],
"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 Aug 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.