Individual provider Active NPI

Erin Eddy Gennocro, ARNP

  • Nurse Practitioner
  • Bradenton, FL
National Provider Identifier
1023006376
Registry record updated Nov 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
ARNP9343590 Issued in FL
Practice address
4730 E State Road 64 Ste a
Bradenton, FL 34208-9058
Phone
(941) 253-0300
Fax
(941) 348-1056
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 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 ARNP9343590 FL Primary

Addresses

Primary practice location

4730 E State Road 64 Ste a
Bradenton, FL 34208-9058

Mailing address

4730 E State Road 64 Ste a
Bradenton, FL 34208-9058
Phone (941) 253-0300

Other identifiers 1

IdentifierTypeStateIssuer
007852900MedicaidFL

Other names 1

  • Erin Eddy Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Jul 1, 2026 through Jul 1, 2028

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP9343590FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Good Medicine, Inc. Nurse Practitioner CurrentSince Nov 9, 2025 Accepting new patients

Locations

4730 E State Road 64
Ste A
Bradenton, FL 34208
Phone (941) 253-0300

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.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762473600000",
    "number": "1023006376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 E STATE ROAD 64 STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089058",
            "telephone_number": "941-253-0300",
            "fax_number": "941-348-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 E STATE ROAD 64 STE A",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342089058",
            "telephone_number": "941-253-0300",
            "fax_number": "941-348-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GENNOCRO",
        "first_name": "ERIN",
        "middle_name": "EDDY",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2025-11-07",
        "certification_date": "2025-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "ARNP9343590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "007852900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIN",
            "last_name": "EDDY",
            "credential": "ARNP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.