Individual provider Active NPI

Vanessa Tomoah, PA-C

  • Physician Assistant
  • Orlando, FL
National Provider Identifier
1487534731
Registry record updated Jun 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9121347 Issued in FL
Practice address
701 W Livingston St BLDG 800
Orlando, FL 32805-1535
Phone
(407) 428-5751
Fax
(407) 428-6204
NPI assigned
Sep 6, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2026

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 PA9121347 FL Primary

Addresses

Primary practice location

701 W Livingston St BLDG 800
Orlando, FL 32805-1535

Mailing address

232 N Orange Blossom TRL
Orlando, FL 32805-1612
Phone (407) 428-5751

Other practice location 1

401 W Kennedy Blvd
Tampa, FL 33606-1450
Phone (813) 253-3333

Other identifiers 1

IdentifierTypeStateIssuer
130851100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260331000775 FL Practitioner - Physician Assistant 9638654387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

83 B Lynbrook Dr
Palm Coast, FL 32137-9586

83 Lynbrook Dr
B
Palm Coast, FL 32137-9586

9064 NW 13TH Ter
Doral, FL 33172-2907

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781568000000",
    "number": "1487534731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "232 N ORANGE BLOSSOM TRL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051612",
            "telephone_number": "407-428-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 W LIVINGSTON ST BLDG 800",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328051535",
            "telephone_number": "407-428-5751",
            "fax_number": "407-428-6204"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 W Kennedy Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336061450",
            "country_code": "US",
            "telephone_number": "813-253-3333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOMOAH",
        "first_name": "VANESSA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-06",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9121347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "130851100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.