Individual provider Active NPI

Victoria Correll, PA-C

  • Physician Assistant
  • Sarasota, FL
National Provider Identifier
1689148306
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9111971 Issued in FL
Practice address
2020 Cattlemen Rd Ste 300
Sarasota, FL 34232-6283
Phone
(941) 697-3001
Fax
(941) 213-1995
NPI assigned
Jan 15, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 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 PA9111971 FL Primary

Addresses

Primary practice location

2020 Cattlemen Rd Ste 300
Sarasota, FL 34232-6283

Mailing address

367 S Gulph Rd
Attn Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (941) 745-5999

Other practice location 1

4647 Manatee Ave W
Bradenton, FL 34209-3816
Phone (941) 745-5999

Other practice location 2

1700 S Tamiami Trl
Sarasota, FL 34239-3509
Phone (941) 917-9000

Other names 1

  • Victoria Crittenden Former name

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
I20190827001991 FL Practitioner - Physician Assistant 5991033029 Reassigns benefits to 4 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care Centers of Brevard County LLC Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Adventist Health System/ Sunbelt, Inc. Physician Assistant CurrentSince Aug 1, 2021 Accepting new patients
Rejuvenx of Tampa LLC Physician Assistant Past Accepting new patients
Primehealth Urgent Care LLC Past Accepting new patients
Dante Family Medicine LLC PastSince Apr 1, 2026 Accepting new patients

Locations

440 W State Road 436
Altamonte Springs, FL 32714
Phone (407) 788-2000

105 S Banana River Blvd
Cocoa Beach, FL 32931
Phone (321) 783-3362

2600 Westhall Ln
Ste 300
Maitland, FL 32751
Phone (407) 200-1353

Networks

  • Freedom Health HMO Network

Organizations & group practices 10

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": "1547510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1689148306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S GULPH RD",
            "address_2": "ATTN IPM CREDENTIALING",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063121",
            "telephone_number": "941-745-5999",
            "fax_number": "941-745-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 CATTLEMEN RD STE 300",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342326283",
            "telephone_number": "941-697-3001",
            "fax_number": "941-213-1995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4647 Manatee Ave W",
            "address_purpose": "LOCATION",
            "city": "Bradenton",
            "state": "FL",
            "postal_code": "342093816",
            "country_code": "US",
            "telephone_number": "941-745-5999",
            "fax_number": "941-745-3555",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1700 S Tamiami Trl",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342393509",
            "country_code": "US",
            "telephone_number": "941-917-9000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORRELL",
        "first_name": "VICTORIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-15",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9111971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICTORIA",
            "last_name": "CRITTENDEN",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.