Individual provider Active NPI

Ryan Kelsey Gavagni Fiorentino, ARNP

  • Advanced Practice Midwife
  • Boca Raton, FL
National Provider Identifier
1063182194
Registry record updated Feb 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
ARNP11016760 Issued in FL
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

Updated by the provider on Feb 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
RN9337753FLMDInpatient Obstetric Registered Nurse
ARNP11016760FLMDAdvanced Practice Midwife

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC PastSince Jul 3, 2019 Accepting new patients
Feinerman Anesthesia PA Past Accepting new patients

Interoperability endpoints

  • FHIR API: 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.

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.

Verify at the official NPI Registry.