Individual provider Active NPI

Brittni Blouin, APRN

  • Nurse Practitioner
  • Boca Raton, FL
National Provider Identifier
1861372138
Registry record updated Sep 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11042080 Issued in FL
Practice address
4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone
(561) 241-6676
NPI assigned
Sep 5, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 11042080 FL Primary

Addresses

Primary practice location

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450

Mailing address

4700 Exchange CT Ste 110
Boca Raton, FL 33431-4450
Phone (561) 241-6676

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
I20250915004119 FL Practitioner - Nurse Practitioner 3971007899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
On Site Dermatology LLCGroup PAC ID 5991736837, 20 clinicians

Practice addresses (Care Compare)

4700 Exchange CT
Suite 110
Boca Raton, FL 33431-4450
Phone (877) 345-5300

Hospital & facility affiliations

  • Preferred Care Home Health Services Home health agency, Fort Myers, FL, CCN 109423

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11042080FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
On Site Dermatology LLC CurrentSince Sep 5, 2025 Accepting new patients

Locations

1080 NW 15th St
Boca Raton, FL 33486
Phone (561) 330-8451

4700 Exchange Ct
Ste 110
Boca Raton, FL 33431
Phone (561) 223-8081

5300 W 16th Ave
Hialeah, FL 33012
Phone (305) 290-3801

Organizations & group practices 1

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": "1757030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757030400000",
    "number": "1861372138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-241-6676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 EXCHANGE CT STE 110",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334314450",
            "telephone_number": "561-241-6676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOUIN",
        "first_name": "BRITTNI",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-05",
        "last_updated": "2025-09-05",
        "certification_date": "2025-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11042080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

Verify at the official NPI Registry.