Active NPI
Fabiola D Gaines, RD,LD
- Registered Dietitian
- Orlando, FL
National Provider Identifier
1780910661
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 000987
- Practice address
- 2009 W Central Blvd
Orlando, FL 32805-2124 - Phone
- (407) 872-1333
- Fax
- (407) 872-7135
- NPI assigned
- Oct 27, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 000987 | FL | Primary |
Addresses
Primary practice location
2009 W Central Blvd
Orlando, FL 32805-2124
Mailing address
1525 Redwood Grove Ter
Lake Mary, FL 32746-4441
Phone (407) 833-8503
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 000987 | FL | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1256601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1256601600000",
"number": "1780910661",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1525 REDWOOD GROVE TER",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327464441",
"telephone_number": "407-833-8503",
"fax_number": "407-872-7135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2009 W CENTRAL BLVD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328052124",
"telephone_number": "407-872-1333",
"fax_number": "407-872-7135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GAINES",
"first_name": "FABIOLA",
"middle_name": "D",
"credential": "RD,LD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-10-27",
"last_updated": "2009-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "FL",
"license": "000987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.