Individual provider Active NPI

Aneta Graca, MASSAGE THERAPIST

  • Clinical Ethicist
  • Tampa, FL
National Provider Identifier
1275819005
Registry record updated Oct 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical EthicistTaxonomy code 174V00000X
License
MA41225 Issued in FL
Practice address
3105 W Bay to Bay Blvd
Tampa, FL 33629-7211
Phone
(813) 835-1515
NPI assigned
Oct 25, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Ethicist 174V00000X MA41225 FL Primary

Addresses

Primary practice location

3105 W Bay to Bay Blvd
Tampa, FL 33629-7211

Mailing address

PO Box 22807
Tampa, FL 33622-2807
Phone (813) 876-7246

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

LicenseStateTypeSpecialty
MA41225FLMDClinical Ethicist

Practice roles

OrganizationSpecialtyStatusNew patients
Jairo D Libreros MD PA Past Accepting new patients

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": "1319500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1319500800000",
    "number": "1275819005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 22807",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336222807",
            "telephone_number": "813-876-7246",
            "fax_number": "813-871-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 W BAY TO BAY BLVD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336297211",
            "telephone_number": "813-835-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRACA",
        "first_name": "ANETA",
        "name_prefix": "Mrs.",
        "credential": "MASSAGE THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-25",
        "last_updated": "2011-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174V00000X",
            "taxonomy_group": "",
            "desc": "Clinical Ethicist",
            "state": "FL",
            "license": "MA41225",
            "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 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.