Individual provider Active NPI

Gabrielle Herard, FNP

  • Family Nurse Practitioner
  • Sayville, NY
National Provider Identifier
1922500354
Registry record updated Mar 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
342172 Issued in NY
Practice address
160 Middle Rd
Sayville, NY 11782-3126
Phone
(917) 687-4762
NPI assigned
Mar 1, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2018

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 342172 NY Primary

Addresses

Primary practice location

160 Middle Rd
Sayville, NY 11782-3126

Mailing address

3 Poe PL
North Baldwin, NY 11510-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20190125000057 NY Practitioner - Nurse Practitioner 3577800721 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
May accept Medicare assignment
Group practices
Smithtown Family Health NP PCGroup PAC ID 9335579499, 4 clinicians

Practice addresses (Care Compare)

300 E Main St
Suite 2
Smithtown, NY 11787-2900
Phone (631) 780-6128

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
342172NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Smithtown Family Health NP PC Family CurrentSince Oct 1, 2022 Accepting new patients
Sayville Medical and Rehab PC CurrentSince Dec 29, 2018 Accepting new patients

Locations

160 Middle Rd
Ste 1
Sayville, NY 11782
Phone (631) 239-8262

3400 Nesconset Hwy
Ste 104
Setauket, NY 11733
Phone (631) 689-5252

300 E Main St
Ste 2
Smithtown, NY 11787
Phone (631) 780-6128

10 Old Riverhead Rd
Unit A
Westhampton Beach, NY 11978
Phone (631) 369-4292

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1922500354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 POE PL",
            "city": "NORTH BALDWIN",
            "state": "NY",
            "postal_code": "115102200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MIDDLE RD",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117823126",
            "telephone_number": "917-687-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERARD",
        "first_name": "GABRIELLE",
        "name_prefix": "Miss",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "342172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sayville, NY

Sources for this page

Verify at the official NPI Registry.