Active NPI
Gabriela Himpel, MS, LAT, ATC
- Athletic Trainer
- Mount Laurel, NJ
National Provider Identifier
1801427430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 25MT00296000
- Practice address
- 1208 Crofton CT
Mount Laurel, NJ 08054-4221 - Phone
- (503) 915-8343
- NPI assigned
- Feb 2, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Athletic Trainer | 2255A2300X | 25MT00296000 | NJ | Primary |
Addresses
Primary practice location
1208 Crofton CT
Mount Laurel, NJ 08054-4221
Mailing address
1208 Crofton CT
Mount Laurel, NJ 08054-4221
Phone (503) 915-8343
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 Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25MT00296000 | NJ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631145600000",
"number": "1801427430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1208 CROFTON CT",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080544221",
"telephone_number": "503-915-8343"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1208 CROFTON CT",
"city": "MOUNT LAUREL",
"state": "NJ",
"postal_code": "080544221",
"telephone_number": "503-915-8343"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HIMPEL",
"first_name": "GABRIELA",
"credential": "MS, LAT, ATC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-02-02",
"last_updated": "2021-09-09",
"certification_date": "2021-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "NJ",
"license": "25MT00296000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mount Laurel, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.