Individual provider Active NPI

Laura Elizabeth Gabriel, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Fiskdale, MA
National Provider Identifier
1003388919
Registry record updated Aug 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
8017 Issued in CT
Practice address
531 Main St
Fiskdale, MA 01518-1208
Phone
(860) 777-5829
NPI assigned
Dec 18, 2018
Last updated
Aug 10, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN10001099 MA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 8017 CT Primary

Addresses

Primary practice location

531 Main St
Fiskdale, MA 01518-1208

Mailing address

2389 Main St Ste 100
Glastonbury, CT 06033-4617
Phone (860) 777-5829

Other names 1

  • Laura Elizabeth Ginn Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190219002866 CT Practitioner - Nurse Practitioner 5092053975 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN10001099MAMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Center for Psychiatric Wellness LLC CurrentSince Mar 1, 2026 Accepting new patients
Wellness Center of Oxford CurrentSince Jan 1, 2023 Accepting new patients
Gilead Community Services, Inc. CurrentSince Oct 27, 2020 Accepting new patients
Mindful Psychiatric Services PLLC Psychiatric/Mental Health Current Accepting new patients
Nafi Connecticut Inc. Past Accepting new patients

Locations

128 Garden St
Farmington, CT 06032
Phone (860) 716-5318

230 Main Street Ext
Middletown, CT 06457
Phone (860) 343-5300

136 Sherman Ave
Lowr
New Haven, CT 06511
Phone (203) 675-1199

350 Center Rock Grn
Ste 9
Oxford, CT 06478
Phone (203) 951-1858

4 Corporate Dr
Ste 186
Shelton, CT 06484
Phone (203) 327-4444

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1545091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1003388919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2389 MAIN ST STE 100",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334617",
            "telephone_number": "860-777-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "531 MAIN ST",
            "city": "FISKDALE",
            "state": "MA",
            "postal_code": "015181208",
            "telephone_number": "860-777-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABRIEL",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-18",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MA",
            "license": "APRN10001099",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "CT",
            "license": "8017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "GINN",
            "middle_name": "ELIZABETH",
            "credential": "APRN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fiskdale, MA

Sources for this page

Verify at the official NPI Registry.