Active NPI
Vicki Gambrell, CPNP
- Pediatric Nurse Practitioner
- Irving, TX
National Provider Identifier
1730291063
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nurse Practitioner
- License
- 585003
- Practice address
- 7200 State Highway 161
Suite 100
Irving, TX 75039-2804 - Phone
- (972) 331-7200
- Fax
- (972) 331-7201
- NPI assigned
- Aug 31, 2006
- 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 |
|---|---|---|---|---|
| Pediatric Nurse Practitioner | 363LP0200X | 585003 | TX | Primary |
Addresses
Primary practice location
7200 State Highway 161
Suite 100
Irving, TX 75039-2804
Mailing address
7200 State Highway 161
Suite 100
Irving, TX 75039-2804
Phone (972) 331-7200
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
- Credentials
- Certified Pediatric Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 585003 | TX | MD | Pediatric Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184716800000",
"number": "1730291063",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7200 STATE HIGHWAY 161",
"address_2": "SUITE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750392804",
"telephone_number": "972-331-7200",
"fax_number": "972-331-7201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7200 STATE HIGHWAY 161",
"address_2": "SUITE 100",
"city": "IRVING",
"state": "TX",
"postal_code": "750392804",
"telephone_number": "972-331-7200",
"fax_number": "972-331-7201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBRELL",
"first_name": "VICKI",
"credential": "CPNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-31",
"last_updated": "2007-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LP0200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Pediatrics",
"state": "TX",
"license": "585003",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irving, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.