Active NPI
Pamela Manning, DNP, AGNP-BC
- Gerontology Nurse Practitioner
- Coral Springs, FL
National Provider Identifier
1477065316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Nurse Practitioner
- License
- NP9292195
- Practice address
- 1515 N University Dr Ste 120
Coral Springs, FL 33071-6084 - Phone
- (954) 999-4881
- Fax
- (772) 303-3476
- NPI assigned
- Nov 1, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Nurse Practitioner | 363LG0600X | NP9292195 | FL | Primary |
| Adult Health Nurse Practitioner | 363LA2200X | NP9292195 | FL | |
| Primary Care Nurse Practitioner | 363LP2300X | 9292195 | FL |
Addresses
Primary practice location
1515 N University Dr Ste 120
Coral Springs, FL 33071-6084
Mailing address
15084 Wildwood Cir
Westlake, FL 33470-5435
Phone (772) 333-7070
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NP9292195 | FL | MD | Adult Health Nurse Practitioner |
| 9292195 | FL | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1509494400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1766707200000",
"number": "1477065316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15084 WILDWOOD CIR",
"city": "WESTLAKE",
"state": "FL",
"postal_code": "334705435",
"telephone_number": "772-333-7070",
"fax_number": "772-303-3476"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 N UNIVERSITY DR STE 120",
"city": "CORAL SPRINGS",
"state": "FL",
"postal_code": "330716084",
"telephone_number": "954-999-4881",
"fax_number": "772-303-3476"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANNING",
"first_name": "PAMELA",
"name_prefix": "Dr.",
"credential": "DNP, AGNP-BC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-11-01",
"last_updated": "2025-12-26",
"certification_date": "2025-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "363LG0600X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Gerontology",
"state": "FL",
"license": "NP9292195",
"primary": true
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "FL",
"license": "NP9292195",
"primary": false
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "FL",
"license": "9292195",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Coral Springs, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.