Active NPI
Michele Ann Gamble, DNP, FNP-C
- Family Nurse Practitioner
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- LG-0000760
- Practice address
- 200 E Vine St
Salisbury, MD 21804-5531 - Phone
- (443) 358-6445
- Fax
- (443) 973-6886
- NPI assigned
- Mar 26, 2007
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 26NJ00076800 | NJ | |
| Family Nurse Practitioner | 363LF0000X | AC001473 | MD | |
| Family Nurse Practitioner | 363LF0000X | LG-0000760 | DE | Primary |
Addresses
Primary practice location
200 E Vine St
Salisbury, MD 21804-5531
Mailing address
200 E Vine St
Salisbury, MD 21804-5531
Phone (443) 358-6445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LG-0000760 | DE | MD | Family Nurse Practitioner |
| AC001473 | MD | MD | Family Nurse Practitioner |
| 26NJ00076800 | NJ | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medstar Health Weight Management, LLC | Current | Accepting new patients |
Locations
6700 Race Track Rd
Bowie, MD 20715
Phone (301) 383-2581
499 Idlewild Ave
Ste 104
Easton, MD 21601
Phone (410) 697-3832
118 E Oak Ridge Dr
Ste 1100
Hagerstown, MD 21740
Phone (240) 382-1312
1099 Winterson Rd
Ste 300
Linthicum Heights, MD 21090
Phone (443) 929-1785
200 E Vine St
Salisbury, MD 21804
Phone (410) 543-1943
532 Baltimore Blvd
Ste 101
Westminster, MD 21157
Phone (667) 367-2778
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Linthicum Heights, MD
- NPI 1013785971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694995200000",
"number": "1972621183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 E VINE ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045531",
"telephone_number": "443-358-6445",
"fax_number": "443-973-6886"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 E VINE ST",
"city": "SALISBURY",
"state": "MD",
"postal_code": "218045531",
"telephone_number": "443-358-6445",
"fax_number": "443-973-6886"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "MICHELE",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "DNP, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2023-09-18",
"certification_date": "2023-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NJ",
"license": "26NJ00076800",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "MD",
"license": "AC001473",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "DE",
"license": "LG-0000760",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Salisbury, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.