Individual provider Active NPI

Ruth Fanfan, APRN

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1386487593
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
APRN11033749 Issued in FL
Practice address
777 Glades Rd
Boca Raton, FL 33431-6424
Phone
(561) 297-3000
NPI assigned
Jun 15, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11033749 FL
Nurse Practitioner 363L00000X APRN11033749 FL Primary

Addresses

Primary practice location

777 Glades Rd
Boca Raton, FL 33431-6424

Mailing address

3702 Silver Lace LN Apt 16
Boynton Beach, FL 33436-3928
Phone (561) 676-5237

Other practice location 1

1037 S State Road 7 Ste 211
Wellington, FL 33414-6139
Phone (561) 798-3030

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
I20250123001183 FL Practitioner - Nurse Practitioner 3779012554 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Innovacare Florida Urgent Care, LLCGroup PAC ID 1557802840, 20 clinicians
Innovacare Florida Physicians LLCGroup PAC ID 0244611382, 17 clinicians

Practice addresses (Care Compare)

1037 S State Rd
7 Suite 113
Wellington, FL 33414-6139
Phone (561) 798-3030

Hospital & facility affiliations

  • Jupiter Medical Center Hospital, Jupiter, FL, CCN 100253

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carelynx Health LLC Family Current Accepting new patients
Innovacare Florida Urgent Care, LLC CurrentSince Feb 9, 2026 Accepting new patients
Lori Lynn Dowie DO PA CurrentSince Nov 18, 2024 Accepting new patients
Premier Family Health CurrentSince Jun 23, 2025 Accepting new patients
Innovacare Florida Physicians, LLC CurrentSince Jun 23, 2025 Accepting new patients
Orlando Family Physicians, LLC Past Accepting new patients

Locations

15689 Southern Blvd
Unit 102
Loxahatchee, FL 33470

15689 Southern Blvd
Unit 101
Lxhtchee Grvs, FL 33470
Phone (561) 614-1116

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

11211 Prosperity Farms Rd
Ste C211
Palm Beach Gardens, FL 33410
Phone (561) 743-4911

1037 S State Road 7
Ste 113
Wellington, FL 33414

1037 S State Road 7
Ste 211
Wellington, FL 33414
Phone (561) 798-8300

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/27472/brand/9/csg/1/fhir/r4
  • Direct secure messaging: ruth.fanfan.1@27472.direct.athenahealth.com

Organizations & group practices 6

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

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": "1718409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747267200000",
    "number": "1386487593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3702 SILVER LACE LN APT 16",
            "city": "BOYNTON BEACH",
            "state": "FL",
            "postal_code": "334363928",
            "telephone_number": "561-676-5237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-297-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1037 S State Road 7 Ste 211",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146139",
            "country_code": "US",
            "telephone_number": "561-798-3030",
            "fax_number": "561-798-8242",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FANFAN",
        "first_name": "RUTH",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-15",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11033749",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11033749",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.