Active NPI
The Tower Ridge Group LLC
- Family Nurse Practitioner
- Lake Wales, FL
National Provider Identifier
1093519829
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Donald Johnson, APRN
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 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 DirectoryPractitioners & 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.