Active NPI
Anya Mancinelli, PA-C
- Physician Assistant
- Tampa, FL
National Provider Identifier
1194542332
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9119221
- Practice address
- 1001 W Cleveland St
Tampa, FL 33606-1913 - Phone
- (813) 425-5005
- NPI assigned
- Sep 19, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9119221 | FL | Primary |
Addresses
Primary practice location
1001 W Cleveland St
Tampa, FL 33606-1913
Mailing address
5145 S Dale Mabry Hwy Unit 14108
Tampa, FL 33611-3594
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9119221 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730073600000",
"number": "1194542332",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 S DALE MABRY HWY UNIT 14108",
"city": "TAMPA",
"state": "FL",
"postal_code": "336113594"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 W CLEVELAND ST",
"city": "TAMPA",
"state": "FL",
"postal_code": "336061913",
"telephone_number": "813-425-5005"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANCINELLI",
"first_name": "ANYA",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-09-19",
"last_updated": "2024-10-28",
"certification_date": "2024-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9119221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.