Active NPI
Dr. Beth Gabriel Psychiatry LLC
- Psychiatric/Mental Health Nurse Practitioner
- Ponte Vedra, FL
National Provider Identifier
1235935263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric/Mental Health Nurse Practitioner | 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 DirectoryNPI 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.