Active NPI
Simone Shanel Gamble, NP
- Family Nurse Practitioner
- Weston, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 11008255
- Practice address
- 1751 Bonaventure Blvd
Weston, FL 33326-4039 - Phone
- (954) 656-3181
- Fax
- (954) 656-3188
- NPI assigned
- Jun 25, 2018
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 343012 | NY | |
| Family Nurse Practitioner | 363LF0000X | 11008255 | FL | Primary |
Addresses
Primary practice location
1751 Bonaventure Blvd
Weston, FL 33326-4039
Mailing address
1751 Bonaventure Blvd
Weston, FL 33326-4039
Phone (954) 656-3181
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1475 NW 12TH Ave
Miami, FL 33136-1002
Phone (305) 689-8648
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.93 of 100
- Quality
- 78.79
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 71.44
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11008255 | FL | MD | Family Nurse Practitioner |
| 343012 | NY | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Group of New York, P.C. | Family | Current | Accepting new patients |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Current | Accepting new patients | |
| University of Miami | Past | Accepting new patients |
Locations
21880 State Road 7
Boca Raton, FL 33428
Phone (561) 470-0647
4601 N State Road 7
Coconut Creek, FL 33073
Phone (954) 345-4456
11105 Stirling Rd
Cooper City, FL 33328
Phone (954) 233-0617
4200 SW 8th St
Coral Gables, FL 33134
Phone (305) 444-2544
6458 Linton Blvd
Delray Beach, FL 33484
Phone (561) 638-3403
2855 Stirling Rd
Ft Lauderdale, FL 33312
Phone (954) 981-1104
4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000
1300 E Hallandale Beach Blvd
Hallandale Beach, FL 33009
Phone (954) 454-1897
4895 Palm Ave
Hialeah, FL 33012
Phone (305) 231-7454
12001 Southern Blvd
Loxahatchee, FL 33470
Phone (561) 784-7403
1475 NW 12th Ave
Miami, FL 33136
Phone (305) 243-4200
11690 SW 72nd St
Miami, FL 33173
Phone (305) 595-3326
4010 SW 137th Ave
Miami, FL 33175
Phone (305) 554-4545
1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226
15255 SW 137th Ave
Miami, FL 33177
Phone (305) 233-8499
12295 Biscayne Blvd
North Miami, FL 33181
Phone (305) 503-8634
1751 Bonaventure Blvd
Weston, FL 33326
Phone (954) 385-0014
107 S Country Rd
Bellport, NY 11713
Phone (631) 286-2222
7960 Metropolitan Ave
Middle Village, NY 11379
Phone (718) 326-4910
241 W 57th St
New York, NY 10019
Phone (212) 247-5848
Interoperability endpoints
- sgamble110733@direct.med.miami.edu
Organizations & group practices 5
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.
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- NPI 1013967827
-
- Family Nurse Practitioner
- Eastchester, NY
- NPI 1487983516
-
- Internal Medicine Physician
- Miami Beach, FL
- NPI 1124768627
-
- Internal Medicine Physician
- Miami, FL
- NPI 1912956566
-
- Pediatric Allergy/Immunology Physician
- Miami, FL
- NPI 1427609080
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743724800000",
"number": "1992290787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1751 BONAVENTURE BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333264039",
"telephone_number": "954-656-3181",
"fax_number": "954-656-3188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1751 BONAVENTURE BLVD",
"city": "WESTON",
"state": "FL",
"postal_code": "333264039",
"telephone_number": "954-656-3181",
"fax_number": "954-656-3188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAMBLE",
"first_name": "SIMONE",
"middle_name": "SHANEL",
"name_prefix": "Ms.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-06-25",
"last_updated": "2025-04-04",
"certification_date": "2025-04-04",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "NY",
"license": "343012",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11008255",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Weston, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; 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.