Organization Active NPI

The Tower Ridge Group LLC

  • Family Nurse Practitioner
  • Lake Wales, FL
National Provider Identifier
1093519829
Registry record updated Apr 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
Legal business name
THE TOWER RIDGE GROUP LLC
Practice address
158 S Lake Starr Blvd
Lake Wales, FL 33898-7661
Phone
(863) 855-0047
Fax
(888) 504-1691
NPI assigned
Apr 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2025

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

Authorized official

Name
Donald Johnson, APRNNPI 1972508422
Title
Owner
Phone
(863) 855-0047

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363LF0000X Primary

Addresses

Primary practice location

158 S Lake Starr Blvd
Lake Wales, FL 33898-7661

Mailing address

23781 US Highway 27 # 139
Lake Wales, FL 33859-7802
Phone (863) 855-0047

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1743552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743552000000",
    "number": "1093519829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23781 US HIGHWAY 27 # 139",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338597802",
            "telephone_number": "863-855-0047",
            "fax_number": "888-504-1691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "158 S LAKE STARR BLVD",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338987661",
            "telephone_number": "863-855-0047",
            "fax_number": "888-504-1691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE TOWER RIDGE GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-02",
        "last_updated": "2025-04-02",
        "certification_date": "2025-04-02",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-855-0047",
        "authorized_official_credential": "APRN"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Wales, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2025; 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.