Individual provider Active NPI

Gabrielle F Eisler, MS

  • Speech-Language Pathologist
  • Davie, FL
National Provider Identifier
1497463210
Registry record updated Aug 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SA21904 Issued in FL
Practice address
10368 W State Road 84 Ste 104
Davie, FL 33324-4242
Phone
(954) 314-7024
NPI assigned
Nov 10, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X SA21904 FL Primary

Addresses

Primary practice location

10368 W State Road 84 Ste 104
Davie, FL 33324-4242

Mailing address

501 NE 5TH Ter Apt 710
Fort Lauderdale, FL 33301-2551
Phone (201) 310-9929

Other practice location 1

301 Camino Gardens Blvd Ste 100
Boca Raton, FL 33432-5823
Phone (561) 494-4499

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
SA21904FLMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1668038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724889600000",
    "number": "1497463210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 NE 5TH TER APT 710",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333012551",
            "telephone_number": "201-310-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10368 W STATE ROAD 84 STE 104",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333244242",
            "telephone_number": "954-314-7024"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "301 Camino Gardens Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334325823",
            "country_code": "US",
            "telephone_number": "561-494-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "EISLER",
        "first_name": "GABRIELLE",
        "middle_name": "F",
        "credential": "MS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-10",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "FL",
            "license": "SA21904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davie, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; 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.