Individual provider Active NPI

Gabriella Judith Brouillard, FNP-C

  • Family Nurse Practitioner
  • Trinity, FL
National Provider Identifier
1609642701
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F10231102 Issued in FL
Practice address
2043 Little Rd
Trinity, FL 34655-4421
Phone
(727) 859-2014
NPI assigned
Nov 29, 2023
Last updated
May 4, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F10231102 FL Primary

Addresses

Primary practice location

2043 Little Rd
Trinity, FL 34655-4421

Mailing address

9800 Trumpet Vine Loop
Trinity, FL 34655-5375
Phone (727) 859-2014

Other names 1

  • Gabriella Judith Haimes Former name

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20241108001958 FL Practitioner - Nurse Practitioner 3173057460 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health First Privia Medical GroupGroup PAC ID 3173965993, 247 clinicians

Practice addresses (Care Compare)

140 6TH Ave
Indialantic, FL 32903-3204
Phone (321) 312-3501

2043 Little Rd
Trinity, FL 34655-4421
Phone (727) 846-7000

8763 River Crossing Blvd
New Port Richey, FL 34655-1112
Phone (727) 846-7000

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958-4879
Phone (727) 617-1777

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F10231102FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Privia Medical Group Florida, LLC CurrentSince Jan 1, 2025 Accepting new patients

Locations

140 6th Ave
Indialantic, FL 32903
Phone (321) 312-3501

989 Sebastian Blvd
Unit 3
Sebastian, FL 32958
Phone (727) 617-1777

2043 Little Rd
Trinity, FL 34655
Phone (727) 375-2222

Interoperability endpoints

  • Direct secure messaging: gabriella.haimes.1@8042.direct.athenahealth.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1701216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1609642701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 TRUMPET VINE LOOP",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346555375",
            "telephone_number": "727-859-2014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2043 LITTLE RD",
            "city": "TRINITY",
            "state": "FL",
            "postal_code": "346554421",
            "telephone_number": "727-859-2014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUILLARD",
        "first_name": "GABRIELLA",
        "middle_name": "JUDITH",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-29",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F10231102",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GABRIELLA",
            "last_name": "HAIMES",
            "middle_name": "JUDITH",
            "credential": "FNP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Trinity, FL

Sources for this page

Verify at the official NPI Registry.