Individual provider Active NPI

Danielle Marie Garcia, PA

  • Physician Assistant
  • Tampa, FL
National Provider Identifier
1548584956
Registry record updated Oct 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105341 Issued in FL
Practice address
3100 E Fletcher Ave
Tampa, FL 33613
Phone
(813) 971-6000
Fax
(813) 972-5753
NPI assigned
Mar 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2019

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 PA9105341 FL Primary

Addresses

Primary practice location

3100 E Fletcher Ave
Tampa, FL 33613

Mailing address

2033 S Patrick Dr
Indian Harbour Beach, FL 32937-4418
Phone (321) 773-9898

Other practice location 1

2033 S Patrick Dr
Indian Harbour Beach, FL 32937-4418
Phone (321) 773-9898

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
PA9105341FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Emergency Services Past Accepting new patients
Beach Medical Specialists LLC Past Accepting new patients
Beach Medical Imaging, PA Past Accepting new patients

Organizations & group practices 3

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": "1268611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569974400000",
    "number": "1548584956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2033 S PATRICK DR",
            "city": "INDIAN HARBOUR BEACH",
            "state": "FL",
            "postal_code": "329374418",
            "telephone_number": "321-773-9898",
            "fax_number": "321-773-3354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E FLETCHER AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33613",
            "telephone_number": "813-971-6000",
            "fax_number": "813-972-5753"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2033 S Patrick Dr",
            "address_purpose": "LOCATION",
            "city": "Indian Harbour Beach",
            "state": "FL",
            "postal_code": "329374418",
            "country_code": "US",
            "telephone_number": "321-773-9898",
            "fax_number": "321-773-3354",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARCIA",
        "first_name": "DANIELLE",
        "middle_name": "MARIE",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-15",
        "last_updated": "2019-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2019; 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.