Active NPI
Ayanna McDonald, M.A.
- Social Worker
- Tampa, FL
National Provider Identifier
1588110597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Practice address
- 12512 Bruce B Downs Blvd
Tampa, FL 33612-9209 - Phone
- (813) 977-8700
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 59-1641327 | FL | |
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
12512 Bruce B Downs Blvd
Tampa, FL 33612-9209
Mailing address
1109 E 139TH Ave
Tampa, FL 33613-3420
Phone (813) 972-2289
Other practice location 1
1109 E 139th Ave
Tampa, FL 33613-3420
Phone (813) 972-2289 ext. 2278
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)
- Not enrolled
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59-1641327 | FL | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1588110597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1109 E 139TH AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336133420",
"telephone_number": "813-972-2289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12512 BRUCE B DOWNS BLVD",
"city": "TAMPA",
"state": "FL",
"postal_code": "336129209",
"telephone_number": "813-977-8700"
}
],
"practiceLocations": [
{
"address_1": "1109 E 139th Ave",
"address_purpose": "LOCATION",
"city": "Tampa",
"state": "FL",
"postal_code": "336133420",
"country_code": "US",
"telephone_number": "813-972-2289 x2278",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCDONALD",
"first_name": "AYANNA",
"name_prefix": "Ms.",
"credential": "M.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-30",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "FL",
"license": "59-1641327",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"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 Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.