Derek Paul Gamble, DNP, PMHNP

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

License

27944 Issued in TN

Practice address

Kenner Army Health Clinic, Building 8130
700 24TH Street
Fort Gregg-Adams, VA 23801

Phone

(804) 734-9145

NPI assigned

Dec 10, 2020

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1607558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1972109247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "KENNER ARMY HEALTH CLINIC, BUILDING 8130",
            "address_2": "700 24TH STREET",
            "city": "FORT GREGG-ADAMS",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "KENNER ARMY HEALTH CLINIC, BUILDING 8130",
            "address_2": "700 24TH STREET",
            "city": "FORT GREGG-ADAMS",
            "state": "VA",
            "postal_code": "23801",
            "telephone_number": "804-734-9145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBLE",
        "first_name": "DEREK",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "DNP, PMHNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-12-10",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "TN",
            "license": "27944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Michael Corcoran, O.D.
• Holton Ariel Daniel
• Michael A Dawson, MD
• Noelia Feliz
• Jonathan Fugate, OD
• Brittany Nicole Hall, LCSW
• Idian Damara Hall
• Abigail Tashika Hines
• David Joel Hummel, D.C.
• Mersedes S. Jackson, DDS

• Psychiatric/Mental Health Nurse Practitioner in Fort Gregg-Adams, VA
• Providers in Fort Gregg-Adams, VA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; 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.