Individual provider Active NPI

Tiffinny Drake, NP

  • Gerontology Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1790930733
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11035262 Issued in FL
Practice address
777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6496
Phone
(561) 297-0502
Fax
(561) 297-0505
NPI assigned
Nov 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Palliative/Hospice Certified Respiratory Therapist 2278P3800X NP 15061 CA
Gerontology Nurse Practitioner 363LG0600X APRN11035262 FL Primary
Family Nurse Practitioner 363LF0000X 15061 CA

Addresses

Primary practice location

777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6496

Mailing address

777 Glades Rd BLDG Az-79
Boca Raton, FL 33431-6424
Phone (561) 297-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20211202002714 NJ Practitioner - Nurse Practitioner 2466644935 Reassigns benefits to 3 organizations
I20251111003033 FL Practitioner - Nurse Practitioner 2466644935 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Atlantic UniversityGroup PAC ID 8921097171, 25 clinicians

Practice addresses (Care Compare)

777 Glades Rd
BLDG Az79
Boca Raton, FL 33431-6424
Phone (561) 297-0502

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP 15061CAMDPalliative/Hospice Certified Respiratory Therapist
APRN11035262FLMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Care on Wheels LLC Current Accepting new patients
Florida Atlantic University CurrentSince Oct 13, 2025 Accepting new patients
Florida Atlantic University CurrentSince Oct 13, 2025 Accepting new patients
Florida Atlantic University Gerontology Current Accepting new patients
Manish Saini MD LLC CurrentSince Dec 1, 2022 Accepting new patients
Garden State Internists LLC CurrentSince Dec 1, 2022 Accepting new patients
Rwjbh Primary Care Services CurrentSince May 24, 2023 Accepting new patients

Locations

777 Glades Rd
#71
Boca Raton, FL 33431
Phone (561) 297-4828

777 Glades Rd
Bldg AZ79
Boca Raton, FL 33431
Phone (561) 297-0502

16 Thoreau Dr
Freehold, NJ 07728
Phone (732) 597-0596

25 Kilmer Dr
Ste 107
Morganville, NJ 07751
Phone (732) 385-5262

1300 Highway 35
Ste 204II
Ocean, NJ 07712
Phone (732) 531-6400

1163 Route 37 W
Ste B1
Toms River, NJ 08755
Phone (732) 341-7900

8 Mountain Blvd
Ste J
Warren, NJ 07059
Phone (732) 893-0200

Organizations & group practices 7

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": "1226966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1790930733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "777 GLADES RD BLDG AZ-79",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316424",
            "telephone_number": "561-297-0502",
            "fax_number": "561-297-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 GLADES RD BLDG AZ-79",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334316496",
            "telephone_number": "561-297-0502",
            "fax_number": "561-297-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAKE",
        "first_name": "TIFFINNY",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-18",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278P3800X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, Palliative/Hospice",
            "state": "CA",
            "license": "NP 15061",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11035262",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "15061",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.