Active NPI
Kiffany Shantrel Gamble
- Counselor
- Mobile, AL
National Provider Identifier
1508067869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- Practice address
- 3103 Airport Blvd Ste 410
Mobile, AL 36606-3658 - Phone
- (251) 470-2548
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | Primary |
Addresses
Primary practice location
3103 Airport Blvd Ste 410
Mobile, AL 36606-3658
Mailing address
701 S. University Blvd Apt #348
Mobile, AL 36609
Phone (251) 533-3351
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1508067869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S. UNIVERSITY BLVD APT #348",
"city": "MOBILE",
"state": "AL",
"postal_code": "36609",
"telephone_number": "251-533-3351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3103 AIRPORT BLVD STE 410",
"city": "MOBILE",
"state": "AL",
"postal_code": "366063658",
"telephone_number": "251-470-2548"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "KIFFANY",
"middle_name": "SHANTREL",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mobile, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.