Individual provider Active NPI

Gabrielle Nembhard

  • Speech-Language Pathologist
  • Hollywood, FL
National Provider Identifier
1144866641
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
22092 Issued in FL
Practice address
3335 N University Dr
Hollywood, FL 33024-2200
Phone
(954) 442-9422
NPI assigned
Nov 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Assistant 2355S0801X
Speech-Language Pathologist 235Z00000X 22092 FL Primary

Addresses

Primary practice location

3335 N University Dr
Hollywood, FL 33024-2200

Mailing address

7012 NW 108TH Ave
Tamarac, FL 33321-1034
Phone (516) 426-4260

Other practice location 1

201 SE 19th St
Fort Lauderdale, FL 33316-2837
Phone (954) 281-5606

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

LicenseStateTypeSpecialty
22092FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Epd Speech and Occupational Therapy Inc. Speech-Language Pathologist CurrentSince Nov 10, 2019 Accepting new patients

Locations

201 SE 19th St
Ft Lauderdale, FL 33316
Phone (954) 281-5606

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1144866641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7012 NW 108TH AVE",
            "city": "TAMARAC",
            "state": "FL",
            "postal_code": "333211034",
            "telephone_number": "516-426-4260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3335 N UNIVERSITY DR",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330242200",
            "telephone_number": "954-442-9422"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "201 SE 19th St",
            "address_purpose": "LOCATION",
            "city": "Fort Lauderdale",
            "state": "FL",
            "postal_code": "333162837",
            "country_code": "US",
            "telephone_number": "954-281-5606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NEMBHARD",
        "first_name": "GABRIELLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2355S0801X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Speech-Language Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "22092",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; 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.