MS. VICKY J GAMBER (NPI# 1982786794) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982786794 |
| Entity Type | Individual |
| Full Name | MS. VICKY J GAMBER |
| Credential | ATC |
| Practice Address |
7601 Southcrest Parkway Southaven MS 38671-4739 |
| Mailing Address |
19602 Hwy 57 Moscow TN 38057-7170 |
| Practice Telephone | 6623497535 |
| Practice Fax Number | 6623497540 |
| Mailing Telephone | 9018776713 |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0300 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7601 SOUTHCREST PARKWAY |
| City | SOUTHAVEN |
| State | MS |
| Zip Code | 38671-4739 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245227073 | Jonathan H Stein | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2005-10-06 |
| 1922336387 | Judy Galloway | Dietitian, Registered | 7601 Southcrest Parkway, Baptist Memorial Hospital Desoto, Southaven, MS 38671 | 2009-11-24 |
| 1548491673 | Srinivasa Varma Jampana | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2009-08-06 |
| 1346479235 | Hamza A Lodhi | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2009-07-13 |
| 1346475332 | Nicole Pant | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2009-05-20 |
| 1750523544 | Muhammad Waqas | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2009-03-25 |
| 1063617835 | Michael Puchaev | Specialist | 7601 Southcrest Parkway, Southaven, MS 38671 | 2007-06-20 |
| 1356558357 | Hillel E. Wiener | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2007-05-17 |
| 1467671677 | Fazila Khaliq | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2007-04-25 |
| 1245456938 | Rachael E Smith | Internal Medicine | 7601 Southcrest Parkway, Southaven, MS 38671 | 2007-04-18 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285196196 | Emma Tinsley-bowles Long | Social Worker | 8786 Northcreek Blvd, Bldg 8 Apt 3, Southaven, MS 38671 | 2019-04-01 |
| 1851847586 | Tiffany Lashea Jones | Adult Companion | 8755 Millbranch Road, Southaven, MS 38671 | 2016-09-01 |
| 1538526140 | Desoto Pediatric Extended Care LLC | Skilled Nursing Facility | 750 Stateline Road East, Southhaven, MS 38671 | 2016-01-27 |
| 1073983052 | Tara Burt | Physical Therapist | 7900 Airways Blvd. Building A, Suite 2, Southaven, MS 38671 | 2015-10-02 |
| 1295160463 | Ideal Community Care,llc | In Home Supportive Care | 8869 Centre Str #3, Southaven, MS 38671 | 2013-09-06 |
| 1578995692 | Gregory Charles Eakins Jr. | Optometrist | 338 Goodman Rd West, Southaven, MS 38671 | 2013-07-31 |
| 1295173169 | Erica R. Martin | Social Worker | 975 Swinnea Rdg Ste 3, Southaven, MS 38671 | 2013-06-12 |
| 1386918431 | Freds Stores of Tennessee Inc | Pharmacy | 710 Church Road, Southaven, MS 38671 | 2012-03-06 |
| 1740565613 | Mary Jeanette Scruggs | Pharmacist | 1011 Goodman Rd, Southaven, MS 38671 | 2011-10-11 |
| 1184919268 | First Pharmacy Services 5 | Pharmacy | 5185a Getwell Rd, Southaven, MS 38671 | 2011-06-16 |
| Find all providers in zip 38671 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295374536 | Celia Shields | Specialist/Technologist | 1776 Brookhaven Dr, Southaven, MS 38671-3554 | 2020-01-03 |
| 1922515923 | Kelcey Raye Cooper | Specialist/Technologist | 641 Valley Springs Dr, Southaven, MS 38671-4331 | 2017-12-29 |
| 1649657016 | Adam Christopher Haney | Specialist/Technologist | 5889 Telford Dr, Southaven, MS 38671-6817 | 2015-05-05 |
| 1558567834 | Robert Owen Golden | Specialist/Technologist | 740 Thornwood Dr, Southaven, MS 38671-3328 | 2007-06-25 |
| 1710421946 | Bobbi Mcwhinney | Specialist/Technologist | 7545 Airways Blvd, Southaven, MS 38671-5806 | 2016-12-07 |
| 1497011357 | William Brooks Turner | Specialist/Technologist | 391 Southcrest Cir, Suite 205, Southaven, MS 38671-6730 | 2012-04-05 |
| 1033155783 | Baptist Memorial Hospital Desoto | Specialist/Technologist | 7601 Southcrest Pkwy, Southaven, MS 38671-4739 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942817895 | Thaxton Sullivan | Specialist/Technologist | 3 Courtland Dr Apt 50, Hattiesburg, MS 39402-8186 | 2020-09-24 |
| 1114532587 | David Vincent Hughes Jr. | Specialist/Technologist | 1 Priority Plaza, West Point, MS 39773 | 2020-09-13 |
| 1194333484 | Rebbecca Alister Ruckes | Specialist/Technologist | 741 Cr 503, Ripley, MS 38663-3866 | 2020-07-22 |
| 1164049102 | Catherine Meredith Pendergast | Specialist/Technologist | 36 Hill Dr., University, MS 38677 | 2020-06-25 |
| 1972137685 | Pamela Sue Ezell | Specialist/Technologist | 920 Cedar Lake Rd Ste C, Biloxi, MS 39532-2107 | 2020-03-03 |
| 1629600606 | Weldon Meng | Specialist/Technologist | 1084 Looxahoma Tyro Rd, Senatobia, MS 38668-6518 | 2020-02-07 |
| 1396384947 | Natasha Lea Hayes | Specialist/Technologist | 254 Springhill Rd, Laurel, MS 39443-7874 | 2019-12-30 |
| 1184263048 | Keizia Davidson | Specialist/Technologist | 153 Ripon Ct, Ridgeland, MS 39157-1265 | 2019-12-24 |
| 1730726530 | Stephen Thompson | Specialist/Technologist | 2816 Jim St, Tupelo, MS 38801-6763 | 2019-11-30 |
| 1376187864 | Robert Ragsdale IIi | Specialist/Technologist | 601 Tiger Dr, Batesville, MS 38606-1946 | 2019-10-29 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.