Individual provider Active NPI

Tayna De Oliveira Moreira

  • Physician Assistant
  • Bradenton, FL
National Provider Identifier
1508659541
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
7431 Manatee Ave W
Bradenton, FL 34209-3444
Phone
(941) 313-7142
NPI assigned
May 23, 2025
Last updated
May 28, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary
Medical Physician Assistant 363AM0700X
Surgical Physician Assistant 363AS0400X

Addresses

Primary practice location

7431 Manatee Ave W
Bradenton, FL 34209-3444

Mailing address

175 Cloverdale Rd
Winter Haven, FL 33884-4211
Phone (863) 604-1706

Other practice location 1

4401 Cortez Rd W
Bradenton, FL 34210-3142
Phone (941) 357-5550

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
I20250731001800 FL Practitioner - Physician Assistant 9335657584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Medical Specialists LLCGroup PAC ID 5799786687, 125 clinicians

Practice addresses (Care Compare)

3830 Bee Ridge Rd
Sarasota, FL 34233-1105

4401 Cortez Rd W
Bradenton, FL 34210-3142
Phone (941) 357-5550

5831 Bee Ridge Rd
Suite 210B
Sarasota, FL 34233-5088
Phone (941) 315-6198

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Specialists, LLC CurrentSince Jul 21, 2025 Accepting new patients
Florida Medical Specialists LLC CurrentSince Jul 21, 2025 Accepting new patients
Best Value Healthcare LLC Past Accepting new patients

Locations

4401 Cortez Rd W
Bradenton, FL 34210
Phone (941) 357-5550

7431 Manatee Ave W
Bradenton, FL 34209
Phone (941) 313-7142

3830 Bee Ridge Rd
Ste 100
Sarasota, FL 34233
Phone (941) 921-0383

3830 Bee Ridge Rd
Ste 301
Sarasota, FL 34233
Phone (941) 923-1872

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1747958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1508659541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 CLOVERDALE RD",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338844211",
            "telephone_number": "863-604-1706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7431 MANATEE AVE W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093444",
            "telephone_number": "941-313-7142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Cortez Rd W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342103142",
            "country_code": "US",
            "telephone_number": "941-357-5550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MOREIRA",
        "first_name": "TAYNA",
        "middle_name": "DE OLIVEIRA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-05-23",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.