Individual provider Active NPI

Nancy Gumbel, M.S.ED. CCC-SLP

  • Speech-Language Pathologist
  • Elkridge, MD
National Provider Identifier
1508151630
Registry record updated Jun 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
04402 Issued in MD
Practice address
6665 Hunter Rd
Elkridge, MD 21075-5572
Phone
(410) 540-9903
NPI assigned
Jun 16, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 04402 MD Primary

Addresses

Primary practice location

6665 Hunter Rd
Elkridge, MD 21075-5572

Mailing address

6665 Hunter Rd
Elkridge, MD 21075-5572
Phone (410) 540-9903

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
04402MDMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Prints 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.

NPI Registry JSON

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

{
    "created_epoch": "1308182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308182400000",
    "number": "1508151630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6665 HUNTER RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755572",
            "telephone_number": "410-540-9903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6665 HUNTER RD",
            "city": "ELKRIDGE",
            "state": "MD",
            "postal_code": "210755572",
            "telephone_number": "410-540-9903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUMBEL",
        "first_name": "NANCY",
        "name_prefix": "Mrs.",
        "credential": "M.S.ED. CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-16",
        "last_updated": "2011-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "MD",
            "license": "04402",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkridge, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2011; 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.