Individual provider Active NPI

Gabrielle Bains, ARNP

  • Registered Nurse
  • Debary, FL
National Provider Identifier
1053689182
Registry record updated Dec 4, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN3207242 Issued in FL
Practice address
145 Verde Way
Debary, FL 32713-5423
Phone
(386) 753-0125
Fax
(386) 753-0125
NPI assigned
Dec 4, 2011
Last updated
Dec 4, 2011By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN3207242 FL Primary

Addresses

Primary practice location

145 Verde Way
Debary, FL 32713-5423

Mailing address

145 Verde Way
Debary, FL 32713-5423
Phone (386) 753-0125

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20150401001500 FL Practitioner - Nurse Practitioner 7618294612 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN3207242FLMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Gi Urgent Care of Florida LLC CurrentSince Apr 6, 2025 Accepting new patients

Locations

100 N Dean Rd
Ste 101
Orlando, FL 32825
Phone (407) 348-7388

206 N Dean Rd
Ste 110
Orlando, FL 32825
Phone (407) 900-7184

Organizations & group practices 2

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": "1322956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322956800000",
    "number": "1053689182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 VERDE WAY",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135423",
            "telephone_number": "386-753-0125",
            "fax_number": "386-753-0125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 VERDE WAY",
            "city": "DEBARY",
            "state": "FL",
            "postal_code": "327135423",
            "telephone_number": "386-753-0125",
            "fax_number": "386-753-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAINS",
        "first_name": "GABRIELLE",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-04",
        "last_updated": "2011-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN3207242",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Debary, FL

Sources for this page

Verify at the official NPI Registry.