Sandra Lee Mannon, APRN

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

9421819 Issued in FL

Practice address

4144 20TH St W
Bradenton, FL 34205-5001

Phone

(941) 260-7804

Fax

(941) 260-7804

NPI assigned

Jul 14, 2008

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Natural Healing Arts Medical Center, Inc.

  • Specialist
  • Bradenton, FL
  • NPI 1558390237
  Medicare reassignment NPD
• Corrective Care Chiropractic Limited Liability Company

  • Chiropractor
  • Bradenton, FL
  • NPI 1245426733
  NPD (past)
• Palm Beach Wellness Center LLC

  • Primary Care Clinic/Center
  • Lake Worth, FL
  • NPI 1932415635
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1295999878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4144 20TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055001",
            "telephone_number": "941-260-7804",
            "fax_number": "941-260-7804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4144 20TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342055001",
            "telephone_number": "941-260-7804",
            "fax_number": "941-260-7804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNON",
        "first_name": "SANDRA",
        "middle_name": "LEE",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "WI",
            "license": "3428-033",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "9421819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha J Mangino, LGSW
• Lourdes Alexandra Manibo, DDS
• Gilbert Merto Maningas
• Chezare K Mann
• David Bruce Mann II, DMD
• Shenieka Manzi
• Map Medical Centers, PA
• Marc S. Dillworth, PH.D.
• Marcella P Jones DO MD PA
• Roger A Marchant, BSW,BA

• Family Nurse Practitioner in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Family Nurse Practitioner in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.

Verify at the official NPI Registry.