Individual provider Active NPI

Allison Blizzard Manning, ARNP

  • Family Nurse Practitioner
  • Orlando, FL
National Provider Identifier
1164751046
Registry record updated Jun 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP 9299902 Issued in FL
Practice address
1200 Edgewater Dr
Orlando, FL 32804-6314
Phone
(407) 244-8559
Fax
(407) 218-4563
NPI assigned
Dec 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X ARNP 9299902 FL Primary

Addresses

Primary practice location

1200 Edgewater Dr
Orlando, FL 32804-6314

Mailing address

1200 Edgewater Dr
Orlando, FL 32804-6314
Phone (407) 244-8559

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
I20110623000350 FL Practitioner - Nurse Practitioner 6901084888 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ARNP 9299902FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Joint Regeneration and Rehabilitation Center LLC CurrentSince Sep 11, 2018 Accepting new patients

Locations

9685 Lake Nona Village Pl
Ste 205
Orlando, FL 32827
Phone (407) 627-1148

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

NPI Registry JSON

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

{
    "created_epoch": "1261526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1164751046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-218-4563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 EDGEWATER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046314",
            "telephone_number": "407-244-8559",
            "fax_number": "407-218-4563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "ALLISON",
        "middle_name": "BLIZZARD",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-23",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP 9299902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.