Melinda Kathleen Gamble, MS, CCC/SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SA2873 Issued in FL

Practice address

4290 Clinton Cemetery Rd
Edgewater, FL 32141-7121

Phone

(561) 291-4242

NPI assigned

Aug 5, 2006

Last updated

Dec 5, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575504000000",
    "number": "1023027208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4290 CLINTON CEMETERY RD",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321417121",
            "telephone_number": "561-291-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4290 CLINTON CEMETERY RD",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "321417121",
            "telephone_number": "561-291-4242"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7967 Mandarin Blvd",
            "address_purpose": "LOCATION",
            "city": "Loxahatchee",
            "state": "FL",
            "postal_code": "334702924",
            "country_code": "US",
            "telephone_number": "561-291-4242",
            "fax_number": "561-753-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "MELINDA",
        "middle_name": "KATHLEEN",
        "name_prefix": "Ms.",
        "credential": "MS, CCC/SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA2873",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889842100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "SA2873",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1023027208",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Florida HH Services
• Florida Shores Assisted Living Facility Inc. (Florida Shores of Edgewater ALF)
• Shelly Lynn Fradet, PA-C
• Patricia Fredette-Huffman, MD
• Evan Micheal Frobose, D.C.
• Patricia Gardner, CNA
• Katelynn Geib
• Elena Grant-Schramm
• Christian Patrick Grause, DC
• Pamela Lynn Griffin

• Speech-Language Pathologist in Edgewater, FL
• Providers in Edgewater, FL by specialty
• Speech-Language Pathologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; 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.