Individual provider Active NPI

Elizabeth Cloninger Gamiel, M.ED., CCC-SLP

  • Speech-Language Pathologist
  • Manteo, NC
National Provider Identifier
1750587010
Registry record updated May 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
3860 Issued in NC
Practice address
951 US Highway 64
Manteo, NC 27954-9537
Phone
(252) 473-2733
Fax
(252) 473-6673
NPI assigned
Jun 25, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 3860 NC Primary

Addresses

Primary practice location

951 US Highway 64
Manteo, NC 27954-9537

Mailing address

951 US Highway 64
Manteo, NC 27954-9537
Phone (252) 473-2733

Other identifiers 2

IdentifierTypeStateIssuer
7412064MedicaidNC
7212018MedicaidNC

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
Master of Education

State licenses

LicenseStateTypeSpecialty
3860NCMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Elizabeth C. Gamiel Speech-Language Pathologist Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1182729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1242000000000",
    "number": "1750587010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "951 US HIGHWAY 64",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549537",
            "telephone_number": "252-473-2733",
            "fax_number": "252-473-6673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "951 US HIGHWAY 64",
            "city": "MANTEO",
            "state": "NC",
            "postal_code": "279549537",
            "telephone_number": "252-473-2733",
            "fax_number": "252-473-6673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMIEL",
        "first_name": "ELIZABETH",
        "middle_name": "CLONINGER",
        "name_prefix": "Mrs.",
        "credential": "M.ED., CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-25",
        "last_updated": "2009-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "3860",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7412064",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7212018",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Manteo, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2009; 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.