Tandaleo NMN Gamble, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

0075294 Issued in OK

Practice address

4134 S Harvard Ave Ste B3
Tulsa, OK 74135-2613

Phone

(918) 442-2236

Fax

(918) 794-2333

NPI assigned

Apr 3, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tgamble18085@muscogeecreeknation.direct-ci.com
• Direct secure messaging: tandaleo.gamble@gfmp-ok.direct.office.nextgen.com
• FHIR API: https://api.platform.athenahealth.com/23867/brand/1/csg/1/fhir/r4
• Direct secure messaging: tandaleo.gamble.1@23867.direct.athenahealth.com

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.

• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1366593923
  Medicare reassignment NPD
• Gamble Family Medical Practice

  • Family Medicine Physician
  • Tulsa, OK
  • NPI 1013510775
  NPD Authorized official
• Premier Physician Staffing 2 PLLC

  • Emergency Medicine Physician
  • McAlester, OK
  • NPI 1326509407
  Medicare reassignment
• Creek Nation Hospital & Clinics

  • Clinic/Center
  • Muskogee, OK
  • NPI 1922873611
  NPD

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652227200000",
    "number": "1578025078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4134 S HARVARD AVE STE B3",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352613",
            "telephone_number": "918-442-2236",
            "fax_number": "918-794-2333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4134 S HARVARD AVE STE B3",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741352613",
            "telephone_number": "918-442-2236",
            "fax_number": "918-794-2333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "TANDALEO",
        "middle_name": "NMN",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-03",
        "last_updated": "2022-05-11",
        "certification_date": "2022-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OK",
            "license": "0075294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Justin Gambill, LCSW
• Tyler J Gambill, BA
• Gamble Family Medical Practice
• Carre' Gamble
• Ronald Gamble
• Thomas Lee Gamble, DDS
• Luis Fernando Gamboa
• Emilie Rose Games, DO
• Michael Foster Games, DO
• Susie J. Games, MS, LPC

• Family Nurse Practitioner in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Family Nurse Practitioner in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.