Active NPI
Kandi Denise Gamble, BS LVN
- Licensed Vocational Nurse
- Houston, TX
National Provider Identifier
1255844494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 303950
- Practice address
- 1900 West Gray St
130732
Houston, TX 77019 - Phone
- (832) 845-4179
- Fax
- (832) 212-3149
- NPI assigned
- Nov 9, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 303950 | TX | Primary |
| Licensed Practical Nurse | 164W00000X | PN5220652 | FL |
Addresses
Primary practice location
1900 West Gray St
130732
Houston, TX 77019
Mailing address
1900 W Gray St # 130732
Houston, TX 77019-4816
Phone (832) 845-4179
Other practice location 1
1411 New Urban Way
Houston, TX 77047-3409
Phone (832) 845-4179
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 377605601 | Medicaid | TX |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | http://www.nursesatheart.com | Direct |
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
- Credentials
- Bachelor of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PN5220652 | FL | MD | Licensed Practical Nurse |
| 303950 | TX | MD | Licensed Vocational Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nurses at Heart Home Healthcare Services, LLC | Current | Accepting new patients |
Locations
1900 W Gray St
#130732
Houston, TX 77019
Phone (832) 845-4179
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.
-
- Personal Care Attendant
- Houston, TX
- NPI 1861996126
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1581897600000",
"number": "1255844494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 W GRAY ST # 130732",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770194816",
"telephone_number": "832-845-4179",
"fax_number": "832-212-3149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 WEST GRAY ST",
"address_2": "130732",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77019",
"telephone_number": "832-845-4179",
"fax_number": "832-212-3149"
}
],
"practiceLocations": [
{
"address_1": "1411 New Urban Way",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770473409",
"country_code": "US",
"telephone_number": "832-845-4179",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAMBLE",
"first_name": "KANDI",
"middle_name": "DENISE",
"name_prefix": "Ms.",
"credential": "BS LVN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-09",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "TX",
"license": "303950",
"primary": true
},
{
"code": "164W00000X",
"taxonomy_group": "",
"desc": "Licensed Practical Nurse",
"state": "FL",
"license": "PN5220652",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "377605601",
"state": "TX"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "http://www.nursesatheart.com",
"affiliation": "N",
"endpointDescription": "Website",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1900 West Gray St",
"address_2": "130732",
"city": "Houston",
"state": "TX",
"country_code": "US",
"postal_code": "77019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.