Individual provider Active NPI

Anna Velocci, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1437372901
Registry record updated Nov 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
2843 Issued in FL
Practice address
4098 Libra Dr
Orlando, FL 32816-3333
Phone
(407) 823-2701
Fax
(407) 823-4352
NPI assigned
Apr 11, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2016

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 2843 FL Primary

Addresses

Primary practice location

4098 Libra Dr
Orlando, FL 32816-3333

Mailing address

PO Box 163333
Orlando, FL 32816-3333
Phone (407) 823-2701

Other identifiers 1

IdentifierTypeStateIssuer
PAX 1361OtherFLPRESCRIPTIVE LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2843FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Florida Past Accepting new patients

Organizations & group practices 1

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479340800000",
    "number": "1437372901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 163333",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328163333",
            "telephone_number": "407-823-2701",
            "fax_number": "407-878-7757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4098 LIBRA DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328163333",
            "telephone_number": "407-823-2701",
            "fax_number": "407-823-4352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELOCCI",
        "first_name": "ANNA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2016-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "2843",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESCRIPTIVE LICENSE",
            "identifier": "PAX 1361",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.