Individual provider Active NPI

Tina M Rahe, APRN

  • Psychiatric/Mental Health Nurse Practitioner
  • Lake Worth, FL
National Provider Identifier
1235911678
Registry record updated Apr 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN11029520 Issued in FL
Practice address
7765 Lake Worth Rd
#1089
Lake Worth, FL 33467
Phone
(888) 588-2560
Fax
(855) 595-2704
NPI assigned
Oct 19, 2023
Last updated
Apr 17, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11029520 FL Primary
Registered Nurse 163W00000X RN9551401 FL
Addiction (Substance Use Disorder) Registered Nurse 163WA0400X RN9551401 FL

Addresses

Primary practice location

7765 Lake Worth Rd
#1089
Lake Worth, FL 33467

Mailing address

1025 Gateway Blvd Ste 303-355
Boynton Beach, FL 33426-8348
Phone (561) 714-2828

Other names 1

  • Tina Rahe Other name

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
I20250422002663 FL Practitioner - Nurse Practitioner 8921523945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Brain Spa LLCGroup PAC ID 1557616182, 11 clinicians

Practice addresses (Care Compare)

210 Jupiter Lakes Blvd
Suite 3102
Jupiter, FL 33458-7189
Phone (561) 406-6561

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN9551401FLMDAddiction (Substance Use Disorder) Registered Nurse
APRN11029520FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Brain Spa, LLC CurrentSince Jun 1, 2025 Accepting new patients
Grow Healthcare Group PA Psychiatric/Mental Health CurrentSince Mar 14, 2025 Accepting new patients
The Recovery Research Network Foundation, Inc. PastSince Oct 1, 2023 Accepting new patients
Gastroenterology Specialist Inc PastSince Jun 1, 2025 Accepting new patients

Locations

210 Jupiter Lakes Blvd
Ste 3102
Jupiter, FL 33458
Phone (561) 406-6561

66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711

Organizations & group practices 4

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744848000000",
    "number": "1235911678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 GATEWAY BLVD STE 303-355",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334268348",
            "telephone_number": "561-714-2828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7765 LAKE WORTH RD",
            "address_2": "#1089",
            "city": "LAKE WORTH",
            "state": "FL",
            "postal_code": "33467",
            "telephone_number": "888-588-2560",
            "fax_number": "855-595-2704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAHE",
        "first_name": "TINA",
        "middle_name": "M",
        "credential": "APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11029520",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "FL",
            "license": "RN9551401",
            "primary": false
        },
        {
            "code": "163WA0400X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "RN9551401",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "RAHE",
            "credential": "APRN PMHNP-BC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Lake Worth, FL

Sources for this page

Verify at the official NPI Registry.