Individual provider Active NPI

Cynthia Beth Gamble, ARNP

  • Nurse Practitioner
  • Venice, FL
National Provider Identifier
1023126497
Registry record updated Jan 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9264960 Issued in FL
Practice address
600 Nokomis Ave S Ste 207
Venice, FL 34285-3209
Phone
(941) 486-6790
Fax
(941) 486-6795
NPI assigned
Aug 27, 2006
Last updated
Jan 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2021

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X ARNP9264960 FL Primary
Adult Health Nurse Practitioner 363LA2200X ARNP 9264960 FL
Adult Health Nurse Practitioner 363LA2200X 3636-033 WI
Adult Health Nurse Practitioner 363LA2200X 900407 NC
Registered Nurse 163W00000X 105507 NC

Addresses

Primary practice location

600 Nokomis Ave S Ste 207
Venice, FL 34285-3209

Mailing address

600 Nokomis Ave S Ste 207
Venice, FL 34285-3209
Phone (941) 486-6790

Other practice location 1

600 Highland Ave G3/4-CSC
UWHC cardiology
Madison, WI 53792-4160
Phone (608) 265-8483

Other identifiers 3

IdentifierTypeStateIssuer
7000981MedicaidNC
014634700MedicaidFL
NP0762MedicaidSC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cynthia.gamble.1@4692.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20071126000747 FL Practitioner - Nurse Practitioner 3173413234 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
105507NCMDRegistered Nurse
ARNP9264960FLMDNurse Practitioner
ARNP 9264960FLMDAdult Health Nurse Practitioner
900407NCMDAdult Health Nurse Practitioner
3636-033WIMDAdult Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Cardiology Network, LLC CurrentSince Jan 3, 2022 Accepting new patients
Cardiology Consultants Past Accepting new patients

Locations

21298 Olean Blvd
Pt Charlotte, FL 33952
Phone (941) 624-7032

6006 49th St N
Ste 200
St Petersburg, FL 33709
Phone (727) 381-9696

540 The Rialto
Venice, FL 34285
Phone (866) 481-2553

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: cynthia.gamble.1@4692.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/4692/brand/27/csg/1/fhir/r4

Organizations & group practices 2

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": "1156636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610496000000",
    "number": "1023126497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NOKOMIS AVE S STE 207",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853209",
            "telephone_number": "941-486-6790",
            "fax_number": "941-486-6795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 NOKOMIS AVE S STE 207",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342853209",
            "telephone_number": "941-486-6790",
            "fax_number": "941-486-6795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Highland Ave G3/4-CSC",
            "address_2": "UWHC cardiology",
            "address_purpose": "LOCATION",
            "city": "Madison",
            "state": "WI",
            "postal_code": "537924160",
            "country_code": "US",
            "telephone_number": "608-265-8483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "CYNTHIA",
        "middle_name": "BETH",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-27",
        "last_updated": "2021-01-13",
        "certification_date": "2021-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9264960",
            "primary": true
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "FL",
            "license": "ARNP 9264960",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "WI",
            "license": "3636-033",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NC",
            "license": "900407",
            "primary": false
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "105507",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7000981",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014634700",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0762",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cynthia.gamble.1@4692.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "600 Highland Ave G3/4-CSC",
            "address_2": "UWHC cardiology",
            "city": "Madison",
            "state": "WI",
            "country_code": "US",
            "postal_code": "537924160",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.