Nancy Ann Cornett, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA9102674 Issued in FL

Practice address

2830 Bee Ridge Rd
Sarasota, FL 34239-7115

Phone

(941) 927-1234

Fax

(941) 921-0043

NPI assigned

Dec 26, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Nancy Ann King Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Crestside Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Englewood, FL
  • NPI 1003169996
  NPD (past)
• Florida Em-I Medical Services PA

  • Emergency Medicine Physician
  • Fort Lauderdale, FL
  • NPI 1700130432

  Physician Assistant

  NPD (past)
• Lakewood Ranch Urgent Care P a

  dba Suncoast Family Medicine, PA

  • Primary Care Clinic/Center
  • Bradenton, FL
  • NPI 1215150396
  NPD (past)
• South Gulf Coast Emergency Physicians PA

  • Emergency Medicine Physician
  • Fort Myers, FL
  • NPI 1124013149
  NPD (past)
• California Em-I Medical Services, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1801202692

  Physician Assistant

  NPD (past)
• Petrel Emergency Physicians, a Medical Corporation

  • Emergency Medicine Physician
  • Marina del Rey, CA
  • NPI 1154734663
  NPD (past)

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

{
    "created_epoch": "1135555200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565827200000",
    "number": "1619954260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6370 MIDNIGHT COVE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342423453",
            "telephone_number": "310-614-1212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2830 BEE RIDGE RD",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342397115",
            "telephone_number": "941-927-1234",
            "fax_number": "941-921-0043"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1900 Brother Geenen Way",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342367102",
            "country_code": "US",
            "telephone_number": "941-556-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORNETT",
        "first_name": "NANCY",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-26",
        "last_updated": "2019-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9102674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NANCY",
            "last_name": "KING",
            "middle_name": "ANN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jack H Corn, D.M.D
• Lydia Gay Corn, M.D.
• Alvaro Cornejo Cobo, M.D.
• Cornerstone Caregiving East LLC
• Cornerstone Healthcare Clinic
• Merlyn De la Caridad Corona Perez
• Liliana Correa, MS.CCC.SLP
• Victoria Correll, PA-C
• William Corrigan
• Maureen Marie Corristan, LAT,CSCS,PES-NASM

• Medical Physician Assistant in Sarasota, FL
• Providers in Sarasota, FL by specialty
• Medical Physician Assistant in Florida

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