Individual provider Active NPI

Erica Marie-Tyne Disanto, APRN

  • Family Nurse Practitioner
  • Sarasota, FL
National Provider Identifier
1265738454
Registry record updated Jan 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
ARNP9227132 Issued in FL
Practice address
600 N Cattlemen Rd Ste 200
Sarasota, FL 34232-6422
Phone
(941) 377-9993
NPI assigned
Feb 4, 2011
Last updated
Jan 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2023

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 ARNP9227132 FL Primary

Addresses

Primary practice location

600 N Cattlemen Rd Ste 200
Sarasota, FL 34232-6422

Mailing address

2811 38TH Ave W
Bradenton, FL 34205-3536
Phone (941) 751-0559

Other identifiers 2

IdentifierTypeStateIssuer
004032000MedicaidFL
ER966ZOtherFLMEDICARE

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
I20110331000118 FL Practitioner - Nurse Practitioner 7911180815 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Imaging Associates LLCGroup PAC ID 2466342803, 182 clinicians
Stern Drake Isbell and Associates PAGroup PAC ID 3779480835, 57 clinicians

Practice addresses (Care Compare)

1041 Dunlawon Ave
Port Orange, FL 32127-7968
Phone (386) 274-7118

1490 SE Magnolia Ext
Ocala, FL 34471-4443
Phone (352) 732-7400

3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 348-6915

3001 W MLK Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000

339 55TH Ave
St Pete Beach, FL 33706-2308
Phone (352) 351-7200

6901 Simmons Loop
Riverview, FL 33578-9498
Phone (813) 302-8000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
ARNP9227132FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medical Associates of Tampa Bay, LLC CurrentSince Feb 1, 2016 Accepting new patients
Radiology Imaging Associates, LLC CurrentSince Jan 1, 2026 Accepting new patients
Mori Bean and Brooks Inc CurrentSince Jan 26, 2021 Accepting new patients
Stern, Drake, Isbell & Associates, PA CurrentSince Apr 15, 2024 Accepting new patients
Global Physician Network LLC Series I CurrentSince Apr 15, 2019 Accepting new patients
Observation Medical Group LLC CurrentSince Apr 1, 2016 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC CurrentSince Nov 28, 2022 Accepting new patients
Global Physician Network LLC Series II CurrentSince Apr 15, 2019 Accepting new patients
Paragon Emergency Services LLC CurrentSince Sep 1, 2011 Accepting new patients
Em Alliance LLC CurrentSince Oct 10, 2023 Accepting new patients
Observation Medical Group LLC CurrentSince Apr 1, 2016 Accepting new patients
Manatee Memorial Family Past Accepting new patients
Florida Cancer Specialists & Research Institute, LLC PastSince Nov 28, 2022 Accepting new patients

Locations (25 of 27)

2020 59th St W
Bradenton, FL 34209
Phone (813) 798-6303

206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202

5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372

577 N Williamson Blvd
Daytona Beach, FL 32114

3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

8500 State Road 70 E
Lakewood Ranch, FL 34202
Phone (941) 232-6532

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 443-2010

1490 SE Magnolia Ext
Ocala, FL 34471
Phone (352) 512-9703

1500 SW 1st Ave
Ocala, FL 34471
Phone (352) 351-7500

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

3202 N Park Rd
Plant City, FL 33563
Phone (813) 757-1200

1041 Dunlawton Ave
Pt Orange, FL 32127
Phone (386) 322-4700

6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000

1700 Tamiami Trl
Sarasota, FL 34239
Phone (941) 917-8507

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

5731 Bee Ridge Rd
Sarasota, FL 34233
Phone (888) 221-2216

600 N Cattlemen Rd
Ste 200
Sarasota, FL 34232
Phone (941) 377-9993

6331 S Tamiami Trl
Sarasota, FL 34231
Phone (941) 917-5678

6331 S Tamiami Trl
#1
Sarasota, FL 34231
Phone (941) 917-5678

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

3030 W Mlk Blvd
Tampa, FL 33607
Phone (813) 870-4000

4516 N Armenia Ave
Tampa, FL 33603
Phone (813) 348-6900

10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1296777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675123200000",
    "number": "1265738454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2811 38TH AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342053536",
            "telephone_number": "941-751-0559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N CATTLEMEN RD STE 200",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326422",
            "telephone_number": "941-377-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISANTO",
        "first_name": "ERICA",
        "middle_name": "MARIE-TYNE",
        "name_prefix": "Mrs.",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-02-04",
        "last_updated": "2023-01-31",
        "certification_date": "2023-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "ARNP9227132",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004032000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "ER966Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.