Individual provider Active NPI

Pamela Manning, DNP, AGNP-BC

  • Gerontology Nurse Practitioner
  • Coral Springs, FL
National Provider Identifier
1477065316
Registry record updated Dec 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
NP9292195 Issued in FL
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

Updated by the provider on Dec 26, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
NP9292195FLMDAdult Health Nurse Practitioner
9292195FLMDPrimary 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.

Verify at the official NPI Registry.