Gabrielle Maritza-Yesenia Fauntleroy

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

288913 Issued in SC

Practice address

4822 E Palmetto St
Florence, SC 29506-4530

Phone

(843) 661-4625

NPI assigned

Aug 12, 2026

Last updated

Aug 25, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1786492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787616000000",
    "number": "1609791243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "212 WATKIN WAY",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292235752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4822 E PALMETTO ST",
            "city": "FLORENCE",
            "state": "SC",
            "postal_code": "295064530",
            "telephone_number": "843-661-4625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUNTLEROY",
        "first_name": "GABRIELLE",
        "middle_name": "MARITZA-YESENIA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-08-12",
        "last_updated": "2026-08-25",
        "certification_date": "2026-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "SC",
            "license": "288913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Morgan Farrell
• Patricia Jordan Fast, D.M.D.
• Brittany Fatica
• Lily Knight Fatula, MD
• Carl Alvin Faulks, M.D.
• Brian Mark Feagin, OTRL, CHT
• Lori Womack Feagin, P.T.
• Alexandr Michal Federer, PH.D.
• Sharmayne Federick
• Michele Lynn Feil

• Registered Nurse in Florence, SC
• Providers in Florence, SC by specialty
• Registered Nurse in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2026; 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.