Jean Gambo, RN

Primary specialty

Community Health Registered NurseTaxonomy code 163WC1500X

License

R145546 Issued in MD

Practice address

250 Richard Montgomery Dr
Rockville, MD 20852-1147

Phone

(240) 740-6102

NPI assigned

Jun 28, 2022

Last updated

Jun 28, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Registered Nurse

State licenses

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

{
    "created_epoch": "1656374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656374400000",
    "number": "1548992688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14913 HABERSHAM CIR",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209065757",
            "telephone_number": "301-873-8423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 RICHARD MONTGOMERY DR",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208521147",
            "telephone_number": "240-740-6102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBO",
        "first_name": "JEAN",
        "credential": "RN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-28",
        "last_updated": "2022-06-28",
        "certification_date": "2022-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC1500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Community Health",
            "state": "MD",
            "license": "R145546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARYLAND BOARD OF NURSING",
            "identifier": "R145546",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jasmine Leah Gambino, LCSW-C
• Verona Gambino
• Danielle Nicole Gamble
• Larry Anthony Gamble, L.C.S.W.-C.
• Samantha Gamble
• Thomas F Gambon, M.D.
• Cedric Gambrell
• Jaidyn Gambrell
• Yvonne Gambrell
• Savana Gambriel

• Community Health Registered Nurse in Rockville, MD
• Providers in Rockville, MD by specialty
• Community Health Registered Nurse in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2022; 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.