Individual provider Active NPI

Gabrielle Marie Mancella, RD/LDN

  • Registered Dietitian
  • Orlando, FL
National Provider Identifier
1467080408
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
ND7573 Issued in FL
Practice address
238 Thornton LN
Orlando, FL 32801-3066
Phone
(407) 719-0743
NPI assigned
Mar 27, 2020
Reactivated
May 23, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered DietitianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 133V00000X ND7573 FL Primary

Addresses

Primary practice location

238 Thornton LN
Orlando, FL 32801-3066

Mailing address

238 Thornton LN
Orlando, FL 32801-3066
Phone (407) 719-0743

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL gabriellemancella.com Other

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260317001226 FL Practitioner - Registered Dietitian Or Nutrition Professional 0244719599 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2013
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

19 W 24TH St
FL 4
New York, NY 10010-3239

19 W 24TH St FL
Suite 4
New York, NY 10010-3239

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ND7573FLMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
BSH Health PA Dietitian, Registered CurrentSince Mar 1, 2026 Accepting new patients
Smart Mouth Nutrition LLC Dietitian, Registered CurrentSince May 12, 2024 Accepting new patients
Marjorie Nolan Cohn LLC Dietitian, Registered Past Accepting new patients
Fay Nutrition Dietitian, Registered Past Accepting new patients

Locations

2820 NE 214th St
Ste 801
Miami, FL 33180
Phone (305) 204-9877

19 W 24th St
Fl 4
New York, NY 10010
Phone (646) 844-2332

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1585267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1467080408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 THORNTON LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013066",
            "telephone_number": "407-719-0743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 THORNTON LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328013066",
            "telephone_number": "407-719-0743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANCELLA",
        "first_name": "GABRIELLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RD/LDN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-03-27",
        "last_updated": "2024-05-23",
        "certification_date": "2020-03-30",
        "deactivation_date": "2020-03-30",
        "reactivation_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "FL",
            "license": "ND7573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "gabriellemancella.com",
            "affiliation": "N",
            "endpointDescription": "Website",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Website",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Website",
            "address_1": "238 Thornton Ln",
            "city": "Orlando",
            "state": "FL",
            "country_code": "US",
            "postal_code": "328013066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.