Active NPI
Trina Gabriel, LSW
- Personal Care Attendant
- Fairport Harbor, OH
National Provider Identifier
1942864376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Personal Care Attendant
- Practice address
- 404 Villa East Dr # 2
Fairport Harbor, OH 44077-6902 - Phone
- (440) 444-2508
- NPI assigned
- May 1, 2019
- Last updated
- May 3, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | S.1600577 | OH | |
| Personal Care Attendant | 3747P1801X | Primary | ||
| Homemaker | 376J00000X | |||
| Driver | 172A00000X |
Addresses
Primary practice location
404 Villa East Dr # 2
Fairport Harbor, OH 44077-6902
Mailing address
404 Villa East Dr # 2
Fairport Harbor, OH 44077-6902
Phone (440) 444-2508
Other practice location 1
3620 Stutz Dr Ste D
Canfield, OH 44406-9176
Phone (330) 286-3173
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
| License | State | Type | Specialty |
|---|---|---|---|
| S.1600577 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1556668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714694400000",
"number": "1942864376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "404 VILLA EAST DR # 2",
"city": "FAIRPORT HARBOR",
"state": "OH",
"postal_code": "440776902",
"telephone_number": "440-444-2508"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 VILLA EAST DR # 2",
"city": "FAIRPORT HARBOR",
"state": "OH",
"postal_code": "440776902",
"telephone_number": "440-444-2508"
}
],
"practiceLocations": [
{
"address_1": "3620 Stutz Dr Ste D",
"address_purpose": "LOCATION",
"city": "Canfield",
"state": "OH",
"postal_code": "444069176",
"country_code": "US",
"telephone_number": "330-286-3173",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GABRIEL",
"first_name": "TRINA",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-01",
"last_updated": "2024-05-03",
"certification_date": "2024-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.1600577",
"primary": false
},
{
"code": "3747P1801X",
"taxonomy_group": "",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": true
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairport Harbor, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.