Individual provider Active NPI

Gabriel Alvarez, FNP-C, PMHNP- BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Longwood, FL
National Provider Identifier
1144576190
Registry record updated Aug 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
ARNP9336620 Issued in FL
Practice address
300 N Ronald Reagan Blvd Ste 204
Longwood, FL 32750-4162
Phone
(407) 974-6539
Fax
(407) 550-7174
NPI assigned
Jul 27, 2012
Last updated
Aug 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP9336620 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X ARNP9336620 FL Primary
Psychiatric/Mental Health Registered Nurse 163WP0808X RN9336620 FL

Addresses

Primary practice location

300 N Ronald Reagan Blvd Ste 204
Longwood, FL 32750-4162

Mailing address

1070 Montgomery Rd # 2247
Altamonte Springs, FL 32714-7420
Phone (407) 974-6539

Other practice location 1

4300 S Hwy 27 Ste 205E
Clermont, FL 34711-8067
Phone (407) 974-6539

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
I20171109001840 FL Practitioner - Nurse Practitioner 9436415353 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Still Waters Psychiatry PLLCGroup PAC ID 1052823200, 3 clinicians

Practice addresses (Care Compare)

300 N Ronald Reagan Blvd
Suite 204
Longwood, FL 32750-4162
Phone (407) 974-6539

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN9336620FLMDPsychiatric/Mental Health Registered Nurse
ARNP9336620FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Still Waters Psychiatry PLLC Psychiatric/Mental Health CurrentSince Jun 10, 2025 Accepting new patients

Locations

1070 Montgomery Rd
Altamonte Springs, FL 32714
Phone (407) 504-7121

300 N Ronald Reagan Blvd
Ste 204
Longwood, FL 32750
Phone (407) 974-6539

Organizations & group practices 1

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786579200000",
    "number": "1144576190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1070 MONTGOMERY RD # 2247",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327147420",
            "telephone_number": "407-974-6539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N RONALD REAGAN BLVD STE 204",
            "city": "LONGWOOD",
            "state": "FL",
            "postal_code": "327504162",
            "telephone_number": "407-974-6539",
            "fax_number": "407-550-7174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4300 S Hwy 27 Ste 205E",
            "address_purpose": "LOCATION",
            "city": "Clermont",
            "state": "FL",
            "postal_code": "347118067",
            "country_code": "US",
            "telephone_number": "407-974-6539",
            "fax_number": "407-550-7174",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALVAREZ",
        "first_name": "GABRIEL",
        "credential": "FNP-C, PMHNP- BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2026-08-13",
        "certification_date": "2026-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9336620",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "ARNP9336620",
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": "FL",
            "license": "RN9336620",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Longwood, FL

Sources for this page

Verify at the official NPI Registry.