Individual provider Active NPI

Shavon Bills-Gabriel, MSN

  • Psychiatric/Mental Health Nurse Practitioner
  • Toledo, OH
National Provider Identifier
1912390501
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN.CNP.0042759 Issued in OH
Practice address
5151 Monroe St Ste 250F
Toledo, OH 43623-3469
Phone
(419) 836-0386
Fax
(567) 686-1102
NPI assigned
Mar 6, 2015
Last updated
Sep 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN.CNP.0042759 OH Primary
Dental Hygienist 124Q00000X 31014140 OH

Addresses

Primary practice location

5151 Monroe St Ste 250F
Toledo, OH 43623-3469

Mailing address

5151 Monroe St Ste 250F
Toledo, OH 43623-3469
Phone (419) 836-0386

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31014140OHMDDental Hygienist

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas County Auditor Past Accepting new patients
Lucas County Auditor Past Accepting new patients

Organizations & group practices 2

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": "1425600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1912390501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 250F",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233469",
            "telephone_number": "419-836-0386",
            "fax_number": "567-686-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 MONROE ST STE 250F",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436233469",
            "telephone_number": "419-836-0386",
            "fax_number": "567-686-1102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BILLS-GABRIEL",
        "first_name": "SHAVON",
        "credential": "MSN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-06",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "OH",
            "license": "APRN.CNP.0042759",
            "primary": true
        },
        {
            "code": "124Q00000X",
            "taxonomy_group": "",
            "desc": "Dental Hygienist",
            "state": "OH",
            "license": "31014140",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Toledo, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.