Individual provider Active NPI

Corina Rae Gambal

  • Speech-Language Pathologist
  • Hillsville, VA
National Provider Identifier
1831757319
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2202010318 Issued in VA
Practice address
1113 Carrollton Pike
Hillsville, VA 24343-3891
Phone
(276) 728-0700
NPI assigned
May 30, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 2202010318 VA Primary
Speech-Language Pathologist 235Z00000X

Addresses

Primary practice location

1113 Carrollton Pike
Hillsville, VA 24343-3891

Mailing address

590 W Ridge Rd Ste L
Wytheville, VA 24382-1067
Phone (276) 228-4444

Other practice location 1

8703 Highway 17 Byp S # 1
Myrtle Beach, SC 29575-7701
Phone (843) 457-1053

Other identifiers 1

IdentifierTypeStateIssuer
2202010318OtherVAVA BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY

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

State licenses

LicenseStateTypeSpecialty
2202010318VAMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1559174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1831757319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "590 W RIDGE RD STE L",
            "city": "WYTHEVILLE",
            "state": "VA",
            "postal_code": "243821067",
            "telephone_number": "276-228-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1113 CARROLLTON PIKE",
            "city": "HILLSVILLE",
            "state": "VA",
            "postal_code": "243433891",
            "telephone_number": "276-728-0700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8703 Highway 17 Byp S # 1",
            "address_purpose": "LOCATION",
            "city": "Myrtle Beach",
            "state": "SC",
            "postal_code": "295757701",
            "country_code": "US",
            "telephone_number": "843-457-1053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAMBAL",
        "first_name": "CORINA",
        "middle_name": "RAE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-30",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "VA",
            "license": "2202010318",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF AUDIOLOGY AND SPEECH-LANGUAGE PATHOLOGY",
            "identifier": "2202010318",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hillsville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.