Active NPI
Corina Rae Gambal
- Speech-Language Pathologist
- Hillsville, VA
National Provider Identifier
1831757319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2202010318
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2202010318 | Other | VA | VA 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2202010318 | VA | MD | Speech-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.