Individual provider Active NPI

Gabrielle Envent

  • Family Nurse Practitioner
  • Edgewater, FL
National Provider Identifier
1164037271
Registry record updated Mar 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11009019 Issued in FL
Practice address
233 West Ariel Rd
Edgewater, FL 32141
Phone
(408) 612-2356
NPI assigned
Sep 15, 2020
Last updated
Mar 10, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11009019 FL Primary

Addresses

Primary practice location

233 West Ariel Rd
Edgewater, FL 32141

Mailing address

233 West Ariel Rd
Edgewater, FL 32141
Phone (408) 612-2356

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Edgewater Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
APRN11009019FLMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741564800000",
    "number": "1164037271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 WEST ARIEL RD",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "32141",
            "telephone_number": "408-612-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 WEST ARIEL RD",
            "city": "EDGEWATER",
            "state": "FL",
            "postal_code": "32141",
            "telephone_number": "408-612-2356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENVENT",
        "first_name": "GABRIELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-15",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11009019",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Edgewater",
            "affiliation": "N",
            "endpointDescription": "home",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Edgewater",
            "address_1": "233 W Ariel Rd",
            "city": "Edgewater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "321417134",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Edgewater, FL

Sources for this page

Verify at the official NPI Registry.