Individual provider Active NPI

Carianne Fiona Dennis, ARNP

  • Geriatric Medicine (Internal Medicine) Physician
  • Boca Raton, FL
National Provider Identifier
1164754628
Registry record updated Jan 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ARNP9173953 Issued in FL
Practice address
2900 North Military Trail
Boca Raton, FL 33431
Phone
(561) 241-0025
NPI assigned
Feb 9, 2010
Last updated
Jan 2, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ARNP9173953 FL Primary

Addresses

Primary practice location

2900 North Military Trail
Boca Raton, FL 33431

Mailing address

4889 Lake Worth Rd
Ste 109
Greenacres, FL 33463-3480
Phone (561) 649-7532

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110324000293 FL Practitioner - Nurse Practitioner 6204019524 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9173953FLMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rebecca a Prostko MD PA CurrentSince Oct 25, 2019 Accepting new patients
Primary Care Solutions & More LLC CurrentSince Sep 12, 2022 Accepting new patients
Inspired Medical PA CurrentSince Dec 16, 2024 Accepting new patients
Palm Beach Family Medical Associates Inc CurrentSince Jan 2, 2018 Accepting new patients
CD Medical Group LLC Current Accepting new patients

Locations

4889 Lake Worth Rd
Ste 109
Greenacres, FL 33463
Phone (561) 649-7532

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

5075 Innovation Way
Jupiter, FL 33458
Phone (561) 935-3002

938 SW Martin Downs Blvd
Palm City, FL 34990
Phone (772) 221-7620

1701 SE Hillmoor Dr
Ste 7
Port St Lucie, FL 34952
Phone (772) 398-9808

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1265673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1514851200000",
    "number": "1164754628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4889 LAKE WORTH RD",
            "address_2": "STE 109",
            "city": "GREENACRES",
            "state": "FL",
            "postal_code": "334633480",
            "telephone_number": "561-649-7532",
            "fax_number": "561-649-7535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 NORTH MILITARY TRAIL",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "33431",
            "telephone_number": "561-241-0025"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "CARIANNE",
        "middle_name": "FIONA",
        "name_prefix": "Miss",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-09",
        "last_updated": "2018-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ARNP9173953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.