Active NPI
Ryan Kelsey Gavagni Fiorentino, ARNP
- Advanced Practice Midwife
- Boca Raton, FL
National Provider Identifier
1063182194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- ARNP11016760
- Practice address
- 1001 NW 13TH St
Boca Raton, FL 33486-2269 - Phone
- (561) 300-0600
- NPI assigned
- Sep 20, 2021
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Inpatient Obstetric Registered Nurse | 163WX0003X | RN9337753 | FL | |
| Advanced Practice Midwife | 367A00000X | ARNP11016760 | FL | Primary |
Addresses
Primary practice location
1001 NW 13TH St
Boca Raton, FL 33486-2269
Mailing address
3960 Dorrit Ave
Boynton Beach, FL 33436-2734
Phone (561) 601-4976
Other practice location 1
3960 Dorrit Ave
Boynton Beach, FL 33436-2734
Phone (561) 601-4976
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ryan.gavagnifiorentino01@frontier.edu |
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 |
|---|---|---|---|
| RN9337753 | FL | MD | Inpatient Obstetric Registered Nurse |
| ARNP11016760 | FL | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitalmd Group Holding LLC | Past | Accepting new patients | |
| Feinerman Anesthesia PA | Past | Accepting new patients |
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GGIGCA/Endpoint/GGIGCA
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.
-
- Anesthesiology Physician
- Sarasota, FL
- NPI 1821327628
-
- Obstetrics & Gynecology Physician
- Miami, FL
- NPI 1871572032
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1632096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1644364800000",
"number": "1063182194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3960 DORRIT AVE",
"city": "BOYNTON BEACH",
"state": "FL",
"postal_code": "334362734",
"telephone_number": "561-601-4976"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 NW 13TH ST",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334862269",
"telephone_number": "561-300-0600"
}
],
"practiceLocations": [
{
"address_1": "3960 Dorrit Ave",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334362734",
"country_code": "US",
"telephone_number": "561-601-4976",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GAVAGNI FIORENTINO",
"first_name": "RYAN",
"middle_name": "KELSEY",
"name_prefix": "Ms.",
"credential": "ARNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-09-20",
"last_updated": "2022-02-09",
"certification_date": "2022-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0003X",
"taxonomy_group": "",
"desc": "Registered Nurse, Obstetric, Inpatient",
"state": "FL",
"license": "RN9337753",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "",
"desc": "Advanced Practice Midwife",
"state": "FL",
"license": "ARNP11016760",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ryan.gavagnifiorentino01@frontier.edu",
"affiliation": "N",
"address_1": "3960 Dorrit Ave",
"city": "Boynton Beach",
"state": "FL",
"country_code": "US",
"postal_code": "334362734",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.