Active NPI
Traci Gamble
- Hearing Instrument Specialist
- Lady Lake, FL
National Provider Identifier
1568978930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hearing Instrument Specialist
- Practice address
- 702 N US Highway 441
Lady Lake, FL 32159-3194 - Phone
- (352) 205-7361
- NPI assigned
- Dec 21, 2017
- Last updated
- Dec 21, 2017
- 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 |
|---|---|---|---|---|
| Hearing Instrument Specialist | 237700000X | Primary |
Addresses
Primary practice location
702 N US Highway 441
Lady Lake, FL 32159-3194
Mailing address
702 N US Highway 441
Lady Lake, FL 32159-3194
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| AS3856 | Other | FL | FLORIDA BOARD OF HEALTH |
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
Networks
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513814400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513814400000",
"number": "1568978930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "702 N US HIGHWAY 441",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "702 N US HIGHWAY 441",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321593194",
"telephone_number": "352-205-7361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "TRACI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-21",
"last_updated": "2017-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "237700000X",
"taxonomy_group": "",
"desc": "Hearing Instrument Specialist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FLORIDA BOARD OF HEALTH",
"identifier": "AS3856",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lady Lake, FL
- Michael Friedman, PHARMD
- Amber Fulghum
- Functional Health Planning, LLC (Florida Functional Neurology Group)
- Fursankim Group LLC (East2West Acupuncture)
- Janice Gallimore, PA-C
- Carolyn Garbo, ATC, LAT, CSCS
- Yalieski Garcia, MD
- Garry L Dulgar PA (Lady Lake Chiropractic)
- Rosemary Gavan, ARNP
- James Nicholas Georgiades, A.P.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.