Individual provider Active NPI

Anabel Porras, PA

  • Physician Assistant
  • Brandon, FL
National Provider Identifier
1356560833
Registry record updated Dec 12, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA 9103368 Issued in FL
Practice address
109 Margaret St
Brandon, FL 33511-5203
Phone
(813) 654-2544
Fax
(813) 353-4391
NPI assigned
Apr 24, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA 9103368 FL Primary

Addresses

Primary practice location

109 Margaret St
Brandon, FL 33511-5203

Mailing address

109 Margaret St
Brandon, FL 33511-5203
Phone (813) 654-2544

Other identifiers 1

IdentifierTypeStateIssuer
2930731MedicaidFL

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)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA 9103368FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bay Area Urology, Incorporated Past Accepting new patients
Florida Urology Partners LLP PastSince Nov 17, 2019 Accepting new patients
Tampa General Provider Network Inc PastSince Jun 1, 2022 Accepting new patients

Organizations & group practices 3

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": "1177372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418342400000",
    "number": "1356560833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MARGARET ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115203",
            "telephone_number": "813-654-2544",
            "fax_number": "813-353-4391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MARGARET ST",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335115203",
            "telephone_number": "813-654-2544",
            "fax_number": "813-353-4391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORRAS",
        "first_name": "ANABEL",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-24",
        "last_updated": "2014-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA 9103368",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2930731",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brandon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; 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.