Individual provider Active NPI

Yenis Carreras Manin, NP

  • Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1366180226
Registry record updated May 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
11019057 Issued in FL
Practice address
14046 Arbor Knoll Cir
Tampa, FL 33625-6444
Phone
(813) 965-7337
NPI assigned
May 21, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2022

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 11019057 FL Primary

Addresses

Primary practice location

14046 Arbor Knoll Cir
Tampa, FL 33625-6444

Mailing address

14046 Arbor Knoll Cir
Tampa, FL 33625-6444
Phone (813) 965-7337

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
I20230207003734 FL Practitioner - Nurse Practitioner 6800268483

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11019057FLMDNurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1653091200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653091200000",
    "number": "1366180226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14046 ARBOR KNOLL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336256444",
            "telephone_number": "813-965-7337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14046 ARBOR KNOLL CIR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336256444",
            "telephone_number": "813-965-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARRERAS MANIN",
        "first_name": "YENIS",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-21",
        "last_updated": "2022-05-21",
        "certification_date": "2022-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "11019057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.