Active NPI
Anecita Tan-Donahue, M.D.
- Pediatrics Physician
- Tampa, FL
National Provider Identifier
1467685693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- ME0068788
- Practice address
- 13610 South Village Drive
Unit #312
Tampa, FL 33618 - Phone
- (813) 767-2821
- NPI assigned
- Sep 4, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | ME0068788 | FL | Primary |
Addresses
Primary practice location
13610 South Village Drive
Unit #312
Tampa, FL 33618
Mailing address
P.O. Box 272788
Tampa, FL 33688-2788
Phone (813) 931-0400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001658400 | Medicaid | FL | |
| 27543 | Other | FL | BLUE CROSS PROV # |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME0068788 | FL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1252022400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484092800000",
"number": "1467685693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 272788",
"city": "TAMPA",
"state": "FL",
"postal_code": "336882788",
"telephone_number": "813-931-0400",
"fax_number": "813-931-0300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13610 SOUTH VILLAGE DRIVE",
"address_2": "UNIT #312",
"city": "TAMPA",
"state": "FL",
"postal_code": "33618",
"telephone_number": "813-767-2821"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN-DONAHUE",
"first_name": "ANECITA",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-04",
"last_updated": "2017-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "FL",
"license": "ME0068788",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001658400",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS PROV #",
"identifier": "27543",
"state": "FL"
}
],
"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 Jan 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.