Individual provider Active NPI

Gabrielle Timothy, CNA-HHA

  • Adult Companion
  • Clermont, FL
National Provider Identifier
1982378907
Registry record updated Aug 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult CompanionTaxonomy code 372600000X
Practice address
1002 Clear Creek Cir
Clermont, FL 34714-4402
Phone
(386) 569-4137
Fax
(352) 708-5269
NPI assigned
Aug 3, 2021
Last updated
Aug 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Companion 372600000X Primary

Addresses

Primary practice location

1002 Clear Creek Cir
Clermont, FL 34714-4402

Mailing address

9245 Shepton St
Orlando, FL 32825-3786
Phone (386) 864-1143

Electronic endpoints 1

TypeEndpointUseAffiliation
RESTful URL Clermont Other

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

NPI Registry JSON

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

{
    "created_epoch": "1627948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627948800000",
    "number": "1982378907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 SHEPTON ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328253786",
            "telephone_number": "386-864-1143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 CLEAR CREEK CIR",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347144402",
            "telephone_number": "386-569-4137",
            "fax_number": "352-708-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIMOTHY",
        "first_name": "GABRIELLE",
        "credential": "CNA-HHA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-03",
        "last_updated": "2021-08-03",
        "certification_date": "2021-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "REST",
            "endpointTypeDescription": "RESTful URL",
            "endpoint": "Clermont",
            "affiliation": "N",
            "endpointDescription": "fax number",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Orlando",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Clermont",
            "address_1": "1002 Clear Creek Cir",
            "city": "Clermont",
            "state": "FL",
            "country_code": "US",
            "postal_code": "347144402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2021; 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.