Theresa Gagliardo, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

APRN11031826 Issued in FL

Practice address

2400 N Courtenay Pkwy Ste 100
Merritt Island, FL 32953-4127

Phone

(321) 985-9097

Fax

(321) 301-4869

NPI assigned

May 4, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/23154/brand/1/csg/1/fhir/r4
• Direct secure messaging: theresagagliardo@mab.medentdirect.com

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.

• Medical Associates of Brevard LLC

  • Multi-Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1861400103
  Medicare reassignment NPD
• Complete Care LLC

  • Primary Care Clinic/Center
  • Merritt Island, FL
  • NPI 1801252457
  NPD (past)

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

{
    "created_epoch": "1714780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786320000000",
    "number": "1508613787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-985-9097",
            "fax_number": "321-301-4869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 N COURTENAY PKWY STE 100",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329534127",
            "telephone_number": "321-985-9097",
            "fax_number": "321-301-4869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAGLIARDO",
        "first_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-05-04",
        "last_updated": "2026-08-10",
        "certification_date": "2026-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11031826",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carol Stephanie Frisby, LPN
• Functionally Limitless, LLC
• Traci Lynn Futch-West, ARNP
• G Leonard Gioia MD PA
• Jessica Marie Gabrius, LPN
• Mark Anthony George Gagnon Jr., LCSW
• Cheryl Ann Ganzer, RPH
• Mary Teresa Garrish, MD
• Jo Lynn Gaubert-Smith, LPN
• Sharon Gearin

• Family Nurse Practitioner in Merritt Island, FL
• Providers in Merritt Island, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.