Organization Active NPI

Dr. Beth Gabriel Psychiatry LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Ponte Vedra, FL
National Provider Identifier
1235935263
Registry record updated Feb 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
Legal business name
DR. BETH GABRIEL PSYCHIATRY LLC
Practice address
55 Spring Tide Way
Ponte Vedra, FL 32081-4416
Phone
(904) 907-9055
NPI assigned
Feb 20, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2025

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

Authorized official

Name
Beth Gabriel, APRN
Title
Owner
Phone
(904) 907-9055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LP0808X Primary

Addresses

Primary practice location

55 Spring Tide Way
Ponte Vedra, FL 32081-4416

Mailing address

55 Spring Tide Way
Ponte Vedra, FL 32081-4416
Phone (904) 907-9055

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1740009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740009600000",
    "number": "1235935263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SPRING TIDE WAY",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320814416",
            "telephone_number": "904-907-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 SPRING TIDE WAY",
            "city": "PONTE VEDRA",
            "state": "FL",
            "postal_code": "320814416",
            "telephone_number": "904-907-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR. BETH GABRIEL PSYCHIATRY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-02-20",
        "last_updated": "2025-02-20",
        "certification_date": "2025-02-20",
        "status": "A",
        "authorized_official_last_name": "GABRIEL",
        "authorized_official_first_name": "BETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-907-9055",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ponte Vedra, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2025; 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.