Active NPI
Adrianne Pan, MD
- Student in an Organized Health Care Education/Training Program
- Tampa, FL
National Provider Identifier
1427745249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- TRN40893
- Practice address
- 13220 Usf Laurel Dr
Tampa, FL 33620-0001 - Phone
- (813) 493-3034
- NPI assigned
- Apr 20, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Student in an Organized Health Care Education/Training Program | 390200000X | TRN40893 | FL | Primary |
Addresses
Primary practice location
13220 Usf Laurel Dr
Tampa, FL 33620-0001
Mailing address
13220 Usf Laurel Dr
Tampa, FL 33620-0001
Phone (813) 493-3034
Other practice location 1
1720 E Cesar E Chavez Ave
Los Angeles, CA 90033-2414
Phone (323) 268-5000
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN40893 | FL | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1427745249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13220 USF LAUREL DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336200001",
"telephone_number": "813-493-3034"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13220 USF LAUREL DR",
"city": "TAMPA",
"state": "FL",
"postal_code": "336200001",
"telephone_number": "813-493-3034"
}
],
"practiceLocations": [
{
"address_1": "1720 E Cesar E Chavez Ave",
"address_purpose": "LOCATION",
"city": "Los Angeles",
"state": "CA",
"postal_code": "900332414",
"country_code": "US",
"telephone_number": "323-268-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PAN",
"first_name": "ADRIANNE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-20",
"last_updated": "2024-08-02",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "TRN40893",
"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 Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.