Vicky J Gamber, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT0300 Issued in MS

Practice address

7601 Southcrest Parkway
Southaven, MS 38671-4739

Phone

(662) 349-7535

Fax

(662) 349-7540

NPI assigned

Oct 20, 2006

Sex

Female

Sole proprietor

No

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": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982786794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19602 HWY 57",
            "city": "MOSCOW",
            "state": "TN",
            "postal_code": "380577170",
            "telephone_number": "901-877-6713"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 SOUTHCREST PARKWAY",
            "city": "SOUTHAVEN",
            "state": "MS",
            "postal_code": "386714739",
            "telephone_number": "662-349-7535",
            "fax_number": "662-349-7540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAMBER",
        "first_name": "VICKY",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MS",
            "license": "AT0300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven J Fuson, D.D.S, M.S.
• Thaddeus B Gaillard Jr., MD
• Mary Morgan Galjour, PT, DPT
• Amy H Gallimore, LPC
• Judy Galloway, RD, LD, LDN, CDE
• Gamma Healthcare, Inc
• Douglas Edward Gardner, RPH
• Kelly Holloman Gardner, LPC
• Rashidah Gardner, LMSW
• Lindsey Garner, FNP-C

• Athletic Trainer in Southaven, MS
• Providers in Southaven, MS by specialty
• Athletic Trainer in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.