Individual provider Active NPI

Ruth Lynn Gaines, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1437401486
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9208210 Issued in FL
Practice address
5573 Pacific Blvd
#3512
Boca Raton, FL 33433-6752
Phone
(561) 302-0047
NPI assigned
Oct 15, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LP0808X APRN9208210 FL Primary

Addresses

Primary practice location

5573 Pacific Blvd
#3512
Boca Raton, FL 33433-6752

Mailing address

2995 Drew St
Clearwater, FL 33759-3012
Phone (727) 315-7496

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Ruth.GainesAPRN@direct.mybaycare.org Health Information Exchange (HIE) BayCare Behavioral Health Associates LLC

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
I20130211000302 FL Practitioner - Nurse Practitioner 8729232236 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
APRN9208210FLMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Winter Haven Hospital Inc Multi-Specialty CurrentSince Oct 5, 2023 Accepting new patients
Winter Haven Hospital Inc Multi-Specialty CurrentSince Oct 5, 2023 Accepting new patients
Swallowing Diagnostics Inc Multi-Specialty PastSince Aug 9, 2005 Accepting new patients

Locations

2995 Drew St
Clearwater, FL 33759
Phone (727) 315-7496

1201 1st St S
Winter Haven, FL 33880
Phone (863) 294-7062

Interoperability endpoints

  • Direct secure messaging: ruth.gainesaprn@direct.mybaycare.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1350259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1437401486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 DREW ST",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337593012",
            "telephone_number": "727-315-7496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5573 PACIFIC BLVD",
            "address_2": "#3512",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334336752",
            "telephone_number": "561-302-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GAINES",
        "first_name": "RUTH",
        "middle_name": "LYNN",
        "credential": "ARNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-15",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9208210",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ruth.GainesAPRN@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Behavioral Health Associates LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "21808 State Road 54",
            "city": "Lutz",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335496923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.