Mary I Gamble

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

26NJ01314800 Issued in NJ

Practice address

115 N Calhoun St Ste 4
Tallahassee, FL 32301-1568

Phone

(863) 599-0201

NPI assigned

May 27, 2019

Last updated

Aug 31, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, NJ, FL, TX, CA5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Nurse Practitioner

Education

Other, 2019

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/21577/brand/1/csg/1/fhir/r4
• Direct secure messaging: mary.gamble@552337174953988.direct.elationemr.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Mighty Health Medical Services, P.a.

  • Family Medicine Physician
  • Miami, FL
  • NPI 1295577724

  TX

  Medicare reassignment NPD
• Daniel Novick MD PLLC

  • Family Nurse Practitioner
  • Valley Stream, NY
  • NPI 1770327447
  Medicare reassignment NPD
• Garumuni Anura Desilva, MD PC

  • Nurse Practitioner
  • Syosset, NY
  • NPI 1427793629
  Medicare reassignment NPD
• Virta Medical P.C.

  • Internal Medicine Physician
  • San Francisco, CA
  • NPI 1093225138

  FL

  Medicare reassignment NPD
• Rooted Vigor, PLLC

  • Family Nurse Practitioner
  • St Petersburg, FL
  • NPI 1134837057
  NPD Authorized official
• Bradley J. E. Profesional Corporation

  • Family Medicine Physician
  • San Jose, CA
  • NPI 1679337158
  Medicare reassignment
• New Jersey Birdie Health PC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1558971929
  NPD (past)

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

{
    "created_epoch": "1558915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1841857752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 VIRGINIA AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334405553",
            "telephone_number": "863-599-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 N CALHOUN ST STE 4",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323011568",
            "telephone_number": "863-599-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "MARY",
        "middle_name": "I",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-27",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NJ",
            "license": "26NJ01314800",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "344433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ingrid Gallimore
• Mary A Gallo, MSN, ARNP, FNP-BC
• Ginger Len Galloway, RMFTI
• Kimberly L Galloway
• William Charles Gamberino, M.D., PH.D.
• Michelle Gamble
• Terreze Monroze Gamble, M.D.
• Zipporah Gamble, REGISTERED NURSE
• Karin Jeanine Gameng
• Tanishia Gammons

• Family Nurse Practitioner in Tallahassee, FL
• Providers in Tallahassee, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.