Individual provider Active NPI

Amy Littleton Cannella

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1356814792
Registry record updated Jan 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
9323706 Issued in FL
Practice address
1513 Pleasant Harbour Way
Tampa, FL 33602-5966
Phone
(803) 341-0402
NPI assigned
Jan 8, 2019
Last updated
Jan 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 9323706 FL Primary

Addresses

Primary practice location

1513 Pleasant Harbour Way
Tampa, FL 33602-5966

Mailing address

1513 Pleasant Harbour Way
Tampa, FL 33602-5966
Phone (803) 341-0402

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
I20200225000111 FL Practitioner - Nurse Practitioner 9739516113 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Group of Florida, P.a.Group PAC ID 1153367107, 54 clinicians
Brooks Management IncGroup PAC ID 2668633827, 3 clinicians

Practice addresses (Care Compare)

2727 W Dr Martin Luther King Jr Blvd
Suite 630
Tampa, FL 33607-6399
Phone (813) 877-4811

2919 26TH St W
Bradenton, FL 34205-3737

2919 26TH W St
Bradenton, FL 34205-3737
Phone (941) 755-2255

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9323706FLMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Brooks Management Inc CurrentSince Sep 19, 2019 Accepting new patients
Dermatology Group of Florida, P.a. CurrentSince Oct 13, 2025 Accepting new patients
Brooks Management Past Accepting new patients

Locations

1001 NW 13th St
Ste 100
Boca Raton, FL 33486
Phone (561) 750-0544

2919 26th St W
Bradenton, FL 34205
Phone (941) 755-2255

13732 17th St
Dade City, FL 33525
Phone (800) 809-4811

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

4200 N Armenia Ave
Ste 12
Tampa, FL 33607
Phone (813) 877-4811

2727 W Mlk Blvd
Ste 630
Tampa, FL 33607
Phone (813) 876-6000

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1546905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769472000000",
    "number": "1356814792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1513 PLEASANT HARBOUR WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025966",
            "telephone_number": "803-341-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1513 PLEASANT HARBOUR WAY",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336025966",
            "telephone_number": "803-341-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANNELLA",
        "first_name": "AMY",
        "middle_name": "LITTLETON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-08",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "9323706",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.