Laura Elizabeth Gamble, MSN-CPNP

Primary specialty

Pediatric Nurse PractitionerTaxonomy code 363LP0200X

License

APN 2417 Issued in SC

Practice address

8301 Farrow Road
Columbia, SC 29203

Phone

(803) 434-7950

Fax

(803) 434-7981

NPI assigned

Sep 7, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 2

Other names 1

• Laura Gamble McKenzie Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• University Pediatrics

  • Pediatrics Physician
  • Columbia, SC
  • NPI 1083657233
  NPD (past)

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317340800000",
    "number": "1619961414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 MEDICAL PARK",
            "address_2": "SUITE 200-A",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292038903",
            "telephone_number": "843-792-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8301 FARROW ROAD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "29203",
            "telephone_number": "803-434-7950",
            "fax_number": "803-434-7981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Ms.",
        "credential": "MSN-CPNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-09-07",
        "last_updated": "2011-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "RN 33555",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "APN 2417",
            "primary": true
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "SC",
            "license": "2417",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "AA33652389",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP0037",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "MCKENZIE",
            "middle_name": "GAMBLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Beatrice Gamble, DC
• Bobby Gamble
• Chanta Renee Gamble
• Delicia H Gamble, PHARMD, MHA
• Kiara Gamble
• William Bryan Gamble, M.D.
• Yalander Moore Gamble, RPH
• Andrew G Gambrell, DMD
• James Alton Gambrell, M.D.
• Robin Snyder Gambrell

• Pediatric Nurse Practitioner in Columbia, SC
• Providers in Columbia, SC by specialty
• Pediatric Nurse Practitioner in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.