Individual provider Active NPI

Gabrielle Lee Traylor, FNP

  • Family Nurse Practitioner
  • Jackson, WY
National Provider Identifier
1679373930
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
GAA-NP003312 Issued in GA
Practice address
680 S Cache St Ste 100-6949
Jackson, WY 83001-8694
Phone
(760) 696-1825
NPI assigned
Mar 17, 2025
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 8

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRNCNP204419 ND
Family Nurse Practitioner 363LF0000X GAA-NP003312 GA Primary
Family Nurse Practitioner 363LF0000X APRNCNP897870 NV
Family Nurse Practitioner 363LF0000X CAPN0106394CNP CO
Family Nurse Practitioner 363LF0000X APRN-CNP1197502 TX
Family Nurse Practitioner 363LF0000X 56351 WY
Family Nurse Practitioner 363LF0000X NURAPRNLIC286824 MT
Family Nurse Practitioner 363LF0000X 14260145-4405 UT

Addresses

Primary practice location

680 S Cache St Ste 100-6949
Jackson, WY 83001-8694

Mailing address

680 S Cache St Ste 100-6949
Jackson, WY 83001-8694
Phone (760) 696-1825

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20250619000101 GA Practitioner - Nurse Practitioner 3173034873

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4355 Browns Bridge Rd
Suite 1
Cumming, GA 30041-4554

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
GAA-NP003312GAMDFamily Nurse Practitioner
APRN-CNP1197502TXMDFamily Nurse Practitioner
14260145-4405UTMDFamily Nurse Practitioner
56351WYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sage and Stone Wellness LLC Family CurrentSince Jun 3, 2025 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gtraylor@org251.direct.charmhealth.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": "1742169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1679373930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 S CACHE ST STE 100-6949",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018694",
            "telephone_number": "760-696-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 S CACHE ST STE 100-6949",
            "city": "JACKSON",
            "state": "WY",
            "postal_code": "830018694",
            "telephone_number": "760-696-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRAYLOR",
        "first_name": "GABRIELLE",
        "middle_name": "LEE",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-17",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "ND",
            "license": "APRNCNP204419",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "GAA-NP003312",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NV",
            "license": "APRNCNP897870",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CO",
            "license": "CAPN0106394CNP",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "APRN-CNP1197502",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WY",
            "license": "56351",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MT",
            "license": "NURAPRNLIC286824",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "UT",
            "license": "14260145-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, WY

Sources for this page

Verify at the official NPI Registry.