Active NPI
Diane Lynne Raccio, APRN, ANP-BC
- Nurse Practitioner
- Bradenton, FL
National Provider Identifier
1053578377
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- ARNP9340902
- Practice address
- 7005 Cortez Rd W
1St Floor
Bradenton, FL 34210-2509 - Phone
- (941) 750-0602
- NPI assigned
- May 22, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Health Nurse Practitioner | 363LA2200X | 003797 | CT | |
| Nurse Practitioner | 363L00000X | ARNP9340902 | FL | Primary |
Addresses
Primary practice location
7005 Cortez Rd W
1St Floor
Bradenton, FL 34210-2509
Mailing address
7005 Cortez Rd W
1St Floor
Bradenton, FL 34210-2509
Phone (941) 750-0602
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003797 | CT | MD | Professional Counselor |
| ARNP9340902 | FL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coastal Senior Healthcare Inc | Current | Accepting new patients |
Locations
3914 E State Road 64
Bradenton, FL 34208
Phone (860) 250-4522
Interoperability endpoints
- https://api.platform.athenahealth.com/16119/brand/1/csg/1/fhir/r4
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.
-
- Geriatric Medicine (Family Medicine) Physician
- Bradenton, FL
- NPI 1497289110
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1486425600000",
"number": "1053578377",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7005 CORTEZ RD W",
"address_2": "1ST FLOOR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342102509",
"telephone_number": "941-750-0602"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7005 CORTEZ RD W",
"address_2": "1ST FLOOR",
"city": "BRADENTON",
"state": "FL",
"postal_code": "342102509",
"telephone_number": "941-750-0602"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RACCIO",
"first_name": "DIANE",
"middle_name": "LYNNE",
"name_prefix": "Ms.",
"credential": "APRN, ANP-BC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-22",
"last_updated": "2017-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CT",
"license": "003797",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "FL",
"license": "ARNP9340902",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bradenton, FL
- Ernest Quirindongo, MD
- Trever Scott Quittschreiber, M.S., L.M.H.C.
- R Dustin Dixon DMD Holdings, PLLC
- Alexander Rabe
- Marco Antonio Rabines, M.D.
- Courtney Radcliffe, D.O.
- Victoria Rademaker, ARNP
- Marcelle Rader, BA SLPA
- Radiation Oncology Centers of Southwest Florida LLC
- Radiation Oncology Centers of Southwest Florida LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.