Individual provider Active NPI

Tatiana Cavarretta

  • Family Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1215715974
Registry record updated Mar 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
11028641 Issued in FL
Practice address
701 NW 13TH St
Boca Raton, FL 33486-2305
Phone
(561) 955-6400
NPI assigned
Sep 14, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 11028641 FL Primary

Addresses

Primary practice location

701 NW 13TH St
Boca Raton, FL 33486-2305

Mailing address

701 NW 13TH St
Boca Raton, FL 33486-2305
Phone (561) 955-6400

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
I20240201004276 FL Practitioner - Nurse Practitioner 1052764370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
BRRH Oncology, LLCGroup PAC ID 4082612999, 29 clinicians

Practice addresses (Care Compare)

701 NW 13TH St
FL 2
Boca Raton, FL 33486-2305
Phone (561) 955-6400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
11028641FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
BRRH Oncology LLC CurrentSince Jan 4, 2024 Accepting new patients
The Center for Hematology Oncology PastSince Jan 4, 2024 Accepting new patients

Locations

701 NW 13th St
Boca Raton, FL 33486
Phone (561) 955-5966

701 NW 13th St
Fl 2
Boca Raton, FL 33486
Phone (561) 955-6400

6282 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-8307

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1694649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711065600000",
    "number": "1215715974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 NW 13TH ST",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334862305",
            "telephone_number": "561-955-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVARRETTA",
        "first_name": "TATIANA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-09-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "11028641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.