Individual provider Active NPI

Chandra Manuel

  • Family Nurse Practitioner
  • Lakeland, FL
National Provider Identifier
1699356766
Registry record updated Apr 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
F03210306 Issued in FL
Practice address
5842 Odom Rd
Lakeland, FL 33809-4117
Phone
(561) 755-2741
NPI assigned
Apr 19, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F03210306 FL Primary

Addresses

Primary practice location

5842 Odom Rd
Lakeland, FL 33809-4117

Mailing address

5842 Odom Rd
Lakeland, FL 33809-4117
Phone (561) 755-2741

Other names 1

  • Ms. Chandra Manuel Professional 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
I20211210002407 FL Practitioner - Nurse Practitioner 4284024928 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Care Hospitalists PLGroup PAC ID 5092753632, 66 clinicians

Practice addresses (Care Compare)

10680 Old Saint Augustine Rd
Jacksonville, FL 32257-1000
Phone (904) 268-4953

13755 Golf Club Pkwy
Fort Myers, FL 33919-5146
Phone (239) 482-2848

1626 Davis Rd
West Palm Beach, FL 33406-5640
Phone (561) 439-8897

18480 Cochran Blvd
Port Charlotte, FL 33948-3379
Phone (941) 743-4700

2370 Harbor Blvd
Port Charlotte, FL 33952-5024
Phone (941) 624-5966

4033 Beaver LN
Port Charlotte, FL 33952-9206
Phone (941) 625-3200

4315 Highland Park Blvd
Suite D
Lakeland, FL 33813-1639
Phone (863) 816-5884

4405 Lakewood Rd
Lake Worth, FL 33461-3414
Phone (561) 969-1400

701 Victoria St
Brandon, FL 33510-4100
Phone (813) 681-4220

800 NW 95 St
Miami, FL 33150-2032
Phone (305) 836-1550

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F03210306FLMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Care Hospitalists PL CurrentSince Nov 1, 2021 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Apr 7, 2025 Accepting new patients
Intensive Care Experts Health Network LLC CurrentSince Apr 7, 2025 Accepting new patients

Locations

701 N Federal Hwy
Ste 601
Hallandale Beach, FL 33009
Phone (954) 573-2195

4315 Highland Park Blvd
Ste A
Lakeland, FL 33813
Phone (813) 651-1085

4315 Highland Park Blvd
Ste D
Lakeland, FL 33813
Phone (863) 816-5884

4033 Beaver Ln
Pt Charlotte, FL 33952
Phone (941) 212-2748

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": "1618790400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618790400000",
    "number": "1699356766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5842 ODOM RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094117",
            "telephone_number": "561-755-2741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5842 ODOM RD",
            "city": "LAKELAND",
            "state": "FL",
            "postal_code": "338094117",
            "telephone_number": "561-755-2741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUEL",
        "first_name": "CHANDRA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-19",
        "last_updated": "2021-04-19",
        "certification_date": "2021-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "F03210306",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHANDRA",
            "last_name": "MANUEL",
            "prefix": "MS.",
            "credential": "FNP-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Lakeland, FL

Sources for this page

Verify at the official NPI Registry.