Individual provider Active NPI

Tanasia Chicole Thomas, MPH, MSN, APRN

  • Family Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1013647452
Registry record updated Apr 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APRN11020179 Issued in FL
Practice address
7210 Manatee Ave W # 1011
Bradenton, FL 34209-3439
Phone
(941) 580-0213
Fax
(941) 580-0213
NPI assigned
Jun 16, 2022
Last updated
Apr 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN11020179 FL Primary
Family Nurse Practitioner 363LF0000X F356962 NY
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN11020179 FL

Addresses

Primary practice location

7210 Manatee Ave W # 1011
Bradenton, FL 34209-3439

Mailing address

7210 Manatee Ave W # 1011
Bradenton, FL 34209-3439
Phone (941) 580-0213

Other names 1

  • Tanasia Chicole Johnson Former name

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
I20231031003158 FL Practitioner - Nurse Practitioner 3072969799 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abmayor LLCGroup PAC ID 5890187454, 5 clinicians
Total Gastroenterology PAGroup PAC ID 2062562713, 12 clinicians

Practice addresses (Care Compare)

6400 Edgelake Dr
Sarasota, FL 34240-8813
Phone (618) 528-1244

8610 E State Rd
Suite 70
Bradenton, FL 34202-3785
Phone (941) 242-1929

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F356962NYMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Total Gastroenterology PA CurrentSince Oct 1, 2023 Accepting new patients
Pathway PT LLC CurrentSince Jan 1, 2025 Accepting new patients
Willful Wellness Family Past Accepting new patients

Locations

8610 State Road 70 E
Bradenton, FL 34202
Phone (941) 242-1929

2888 Ringling Blvd
Unit Cd
Sarasota, FL 34237
Phone (786) 270-6853

4240 Sun N Lake Blvd
Ste 100
Sebring, FL 33872
Phone (863) 382-2622

7441 US 27 N
Sebring, FL 33870
Phone (863) 382-0385

Networks

  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1655337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775088000000",
    "number": "1013647452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7210 MANATEE AVE W # 1011",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093439",
            "telephone_number": "941-580-0213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7210 MANATEE AVE W # 1011",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093439",
            "telephone_number": "941-580-0213",
            "fax_number": "941-580-0213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "TANASIA",
        "middle_name": "CHICOLE",
        "credential": "MPH, MSN, APRN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-16",
        "last_updated": "2026-04-02",
        "certification_date": "2026-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN11020179",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NY",
            "license": "F356962",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN11020179",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANASIA",
            "last_name": "JOHNSON",
            "middle_name": "CHICOLE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.