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FLORIDA ATLANTIC UNIVERSITY
NPI 1164591954
Nurse Practitioner - Gerontology in Boca Raton, FL

Active since November 07, 2006
777 GLADES RD, BLDG AZ-79, BOCA RATON, FL 33431(561) 297-0502(561) 297-0505 Get Directions Write a Review

NPPES record last updated: December 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 15, 2025, Apr 15, 2023, Jan 24, 2023 and 3 more (6 updates tracked since 2021).

About Florida Atlantic University NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FLORIDA ATLANTIC UNIVERSITY (NPI 1164591954), doing business as Memory And Wellness Center, is a healthcare organization registered as a gerontology in Boca Raton, Florida and active in the NPI registry since November 2006. The organization lists Louisa Pontiroli-kelly, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1164591954
Entity TypeOrganization
Primary Taxonomy363LG0600X
Legal Business NameFLORIDA ATLANTIC UNIVERSITY
Location Address777 GLADES RD, BLDG AZ-79Boca Raton, FL 33431-6424
Mailing Address777 Glades Rd Bldg Az-79Boca Raton, FL 33431-6424 · (561) 297-0502 · Fax (561) 297-0505
Phone(561) 297-0502
Fax(561) 297-0505
Organization SubpartYes
Authorized OfficialLouisa Pontiroli-kellyAuthorized Official · (561) 297-2897
Enumeration DateNovember 7, 2006
Last NPPES UpdateDecember 15, 20256 updates tracked since enumeration
NPPES CertifiedDecember 15, 2025
✔ NPI 1164591954 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyNurse Practitioner · GerontologyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LG0600X
Also ListedClinical NeuropsychologistTaxonomy 103G00000X
Also ListedPsychologist · ClinicalTaxonomy 103TC0700X
777 GLADES RD, Boca Raton, FL 33431
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Other Names 1

Doing Business AsMemory And Wellness Center

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN EDWARD KIDDY JR. MS, ATC, LAT, CSCS
Specialist/Technologist, Other
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-2043
HAROLYN HALL
Nurse Practitioner
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (318) 547-0157
MS. CYNTHIA ESPINOSA DO
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-4828
AMMAAR JAN MD
Internal Medicine
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-4828
FLORIDA ATLANTIC UNIVERSITY
Alzheimer Center (Dementia Center)
777 GLADES RD, OFFICE BUILDING 1
BOCA RATON, FL 33431
Palm Beach County (561) 566-5328
DR. RACHEL COLETTE ALEF DO
Student in an Organized Health Care Education/Training Program
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 334-6240
JACINTO JOSE GARRIDO ARNP B-C
Nurse Practitioner (Adult Health)
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (561) 297-2871
DIONNE K.O SMITH DNP
Nurse Practitioner (Psychiatric/Mental Health)
777 GLADES RD
BOCA RATON, FL 33431
Palm Beach County (754) 252-8223

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Florida Atlantic University's NPI number?

The NPI number for Florida Atlantic University is 1164591954. It was assigned to this organization in the NPPES registry on November 7, 2006. The provider is doing business as Memory and Wellness Center.

Where is Florida Atlantic University located?

Florida Atlantic University is located at 777 Glades Rd Bldg Az-79, Boca Raton, FL 33431. The listed phone number is (561) 297-0502.

What is Florida Atlantic University's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Gerontology, with taxonomy code 363LG0600X.

What insurance does Florida Atlantic University accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Florida Atlantic University as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Florida Atlantic University was last updated on December 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.