Loraine T Gabbard, APRN - AGPCNP

Primary specialty

Gerontology Nurse PractitionerTaxonomy code 363LG0600X

License

AG03240064 Issued in FL

Practice address

5104 1St Ave W
Bradenton, FL 34209-2702

Phone

(941) 565-3949

Fax

(941) 746-2780

NPI assigned

May 15, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Careconnectmd Florida P.a.

  • Geriatric Medicine (Internal Medicine) Physician
  • Jacksonville, FL
  • NPI 1912632886

  Single Specialty

  Medicare reassignment NPD
• Mana Health Partners PA

  • Internal Medicine Physician
  • Sarasota, FL
  • NPI 1437925047

  Single Specialty

  Medicare reassignment NPD
• Vitalmd Group Holding LLC

  • Obstetrics & Gynecology Physician
  • Miami, FL
  • NPI 1871572032
  Medicare reassignment

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

{
    "created_epoch": "1715731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1093564759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5104 1ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092702",
            "telephone_number": "941-565-3949",
            "fax_number": "941-746-2780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5104 1ST AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342092702",
            "telephone_number": "941-565-3949",
            "fax_number": "941-746-2780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GABBARD",
        "first_name": "LORAINE",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "APRN - AGPCNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-05-15",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "AG03240064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Susan Funk, OTR/L
• Beth Funtal, FDNP, CCLC
• Fuo LLC
• FWC Urogynecology, LLC
• G & D Partners
• Terri J Gable, ARNP
• Kathleen Gaboardi, DDS, PHD
• Theresa L Gabriel, ARNP
• Rebecca Katherine Gaffney, APRN
• Gahc4 Bradenton FL TRS Sub, LLC

• Gerontology Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Gerontology Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.