Individual provider Active NPI

Judith Faustin-Gabriel, DRPH

  • Primary Care Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1194137679
Registry record updated Aug 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
95012131 Issued in CA
Practice address
1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone
(321) 200-4489
Fax
(407) 554-5860
NPI assigned
Jun 2, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health & General Preventive Medicine Physician 2083P0901X 9403240 FL
Primary Care Nurse Practitioner 363LP2300X 9403240 FL
Primary Care Nurse Practitioner 363LP2300X 95012131 CA Primary

Addresses

Primary practice location

1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378

Mailing address

1800 Pembrook Dr Ste 300
Orlando, FL 32810-6378
Phone (321) 200-4489

Other practice location 1

724 Charles St
Orlando, FL 32808-7509
Phone (407) 704-8724

Other identifiers 2

IdentifierTypeStateIssuer
1194137679OtherFLBLUE CROSS BLUE SHIELD
1194137679MedicaidFL

Other names 1

  • Dr. Judith Faustin-Gabriel Professional name

Electronic endpoints 3

TypeEndpointUseAffiliation
Other URL ORLANDO Other
SOAP URL orlando Direct
SOAP URL orlando Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160421001371 FL Practitioner - Nurse Practitioner 3971801168 Reassigns benefits to 3 organizations
I20201008001058 CA Practitioner - Nurse Practitioner 3971801168 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1800 Pembrook Dr
Suite 300
Orlando, FL 32810-6378
Phone (321) 200-4489

Hospital & facility affiliations

  • Pinnacle Home Care Home health agency, Orlando, FL, CCN 103127
  • Trilogy Home Healthcare Home health agency, Orlando, FL, CCN 683131
  • Mederi Caretenders Home health agency, Longwood, FL, CCN 108014
  • Adventhealth Orlando Hospital, Orlando, FL, CCN 100007

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9403240FLMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Samara Primary Care Clinic CurrentSince Nov 1, 2025 Accepting new patients
Heart & Hands on-Deck Care Support Current Accepting new patients
Shingle Springs Rancheria CurrentSince Jul 6, 2020 Accepting new patients
Piecar Community Healthcare LLC CurrentSince Dec 1, 2023 Accepting new patients
Samara Home Doctor Services, LLC CurrentSince Oct 10, 2018 Accepting new patients

Locations

2513 Semoran Blvd
Apopka, FL 32703
Phone (321) 200-4489

1565 Saxon Blvd
Ste 103
Deltona, FL 32725
Phone (386) 574-1423

1800 Pembrook Dr
Ste 300
Orlando, FL 32810
Phone (321) 200-4489

724 Charles St
Orlando, FL 32808
Phone (321) 239-4413

Organizations & group practices 5

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785801600000",
    "number": "1194137679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106378",
            "telephone_number": "321-200-4489",
            "fax_number": "407-554-5860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 PEMBROOK DR STE 300",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328106378",
            "telephone_number": "321-200-4489",
            "fax_number": "407-554-5860"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "724 Charles St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328087509",
            "country_code": "US",
            "telephone_number": "407-704-8724",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FAUSTIN-GABRIEL",
        "first_name": "JUDITH",
        "name_prefix": "Dr.",
        "credential": "DRPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2026-08-04",
        "certification_date": "2026-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "FL",
            "license": "9403240",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "FL",
            "license": "9403240",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "CA",
            "license": "95012131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "1194137679",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1194137679",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ORLANDO",
            "affiliation": "N",
            "endpointDescription": "OFFICE",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Apopka",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 Pembrook Dr Ste 300",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328106378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "orlando",
            "affiliation": "N",
            "endpointDescription": "housecall clinic",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1800 Pembrook Dr Ste 300",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328106378",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "orlando",
            "affiliation": "N",
            "endpointDescription": "clinic",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "724 Charles St",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328087509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "FAUSTIN-GABRIEL",
            "prefix": "DR.",
            "credential": "FNP-BC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.