NPIMap

Organization Active NPI

Aa & D Lubaton, LLC Dba Gaia Holostic Primary Care

  • Family Nurse Practitioner
  • Casselberry, FL
National Provider Identifier
1083179352
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
AA & D LUBATON, LLC DBA GAIA HOLOSTIC PRIMARY CARE
Practice address
430 State Road 436 Ste 224
Casselberry, FL 32707-4965
Phone
(786) 449-5448
NPI assigned
Jan 31, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Authorized official

Name
Amabel Lubaton, APRNNPI 1093241663
Title
Owner
Phone
(786) 449-5448

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

430 State Road 436 Ste 224
Casselberry, FL 32707-4965

Mailing address

430 State Road 436 Ste 224
Casselberry, FL 32707-4965
Phone (786) 449-5448

Other practice location 1

20566 NW 11th Ct
Miami Gardens, FL 33169-2495
Phone (786) 449-5448

Other names 2

  • AA&D Lubaton LLC Doing business as
  • Gaia Holistic Primary Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1548892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589846400000",
    "number": "1083179352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 STATE ROAD 436 STE 224",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074965",
            "telephone_number": "786-449-5448",
            "fax_number": "786-221-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 STATE ROAD 436 STE 224",
            "city": "CASSELBERRY",
            "state": "FL",
            "postal_code": "327074965",
            "telephone_number": "786-449-5448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20566 NW 11th Ct",
            "address_purpose": "LOCATION",
            "city": "Miami Gardens",
            "state": "FL",
            "postal_code": "331692495",
            "country_code": "US",
            "telephone_number": "786-449-5448",
            "fax_number": "786-221-2563",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "AA & D LUBATON, LLC DBA GAIA HOLOSTIC PRIMARY CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-31",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A",
        "authorized_official_last_name": "LUBATON",
        "authorized_official_first_name": "AMABEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "786-449-5448",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AA&D Lubaton LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Gaia Holistic Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Casselberry, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.