Individual provider Active NPI

Annabelle Joy Carney, PA

  • Medical Physician Assistant
  • Lakewood Ranch, FL
National Provider Identifier
1477167476
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9115346 Issued in FL
Practice address
6901 Professional Pkwy Ste 200
Lakewood Ranch, FL 34240-8473
Phone
(941) 352-9832
Fax
(941) 855-3009
NPI assigned
Sep 7, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9115346 FL Primary
Medical Physician Assistant 363AM0700X PA031775 NY

Addresses

Primary practice location

6901 Professional Pkwy Ste 200
Lakewood Ranch, FL 34240-8473

Mailing address

6901 Professional Pkwy Ste 200
Lakewood Ranch, FL 34240-8473
Phone (941) 352-9832

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9115346FLMDMedical Physician Assistant
PA031775NYMDMedical Physician Assistant

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1599436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1477167476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 PROFESSIONAL PKWY STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408473",
            "telephone_number": "941-352-9832"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 PROFESSIONAL PKWY STE 200",
            "city": "LAKEWOOD RANCH",
            "state": "FL",
            "postal_code": "342408473",
            "telephone_number": "941-352-9832",
            "fax_number": "941-855-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARNEY",
        "first_name": "ANNABELLE JOY",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-07",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9115346",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "PA031775",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood Ranch, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.