Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Ellendale Withers Gabbert, C-FNP

Individual provider Family Nurse Practitioner · NPI 1134337017

Mrs. Ellendale Withers Gabbert, C-FNP is a Nurse Practitioner in Lake Charles, Louisiana. Qualified in 1998, 28 years ago. Practices with Imperial Health LLP, a 76-clinician group and accepts Medicare assignment. Licensed in Louisiana.

Years since qualifying
28
Licensed in
LA
In the registry since
2007
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Practice location Address checks out

501 Dr Michael Debakey Dr
Lake Charles, LA 70601-5724
Phone: (337) 433-8400
Fax: (337) 312-6711
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 63422-3267 (LA)

Record details

NPI number1134337017
Entity typeIndividual (Type 1)
GenderFemale
Credentials C-FNP
Sole proprietorNo
NPI enumeratedMay 21, 2007
Last updated in NPPESMarch 21, 2017

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 1998 (28 years in practice)
Group practice Imperial Health Llp — 76 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

Other providers in Lake Charles