Active NPI
Gail Margie Vantatenhove, PA, MS, CCC-SLP
- Speech-Language Pathologist
- Orlando, FL
National Provider Identifier
1376501791
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- SA318
- Practice address
- 8322 Tangelo Tree Dr
Orlando, FL 32836-5437 - Phone
- (407) 876-3423
- Fax
- (407) 876-2120
- NPI assigned
- May 3, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SA318 | FL | Primary |
Addresses
Primary practice location
8322 Tangelo Tree Dr
Orlando, FL 32836-5437
Mailing address
8322 Tangelo Tree Dr
Orlando, FL 32836-5437
Phone (407) 876-3423
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 886506000 | Medicaid | FL | |
| 671119796 | Other | FL | MEDICAID WAIVER |
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
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SA318 | FL | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gail M Van Tatenhove, PA | Speech-Language Pathologist | Past | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Orlando, FL
- NPI 1699873562
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1376501791",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8322 TANGELO TREE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365437",
"telephone_number": "407-876-3423",
"fax_number": "407-876-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8322 TANGELO TREE DR",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328365437",
"telephone_number": "407-876-3423",
"fax_number": "407-876-2120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANTATENHOVE",
"first_name": "GAIL",
"middle_name": "MARGIE",
"name_prefix": "Ms.",
"credential": "PA, MS, CCC-SLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-05-03",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "FL",
"license": "SA318",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "886506000",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID WAIVER",
"identifier": "671119796",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.