Individual provider Active NPI

Anne Adhiambo Ananga, ARNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Tallahassee, FL
National Provider Identifier
1740625433
Registry record updated Dec 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
APRN9315757 Issued in FL
Practice address
1720 S Gadsden St
Tallahassee, FL 32301
Phone
(850) 576-4703
NPI assigned
May 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 8, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APRN9315757 FL
Child & Family Psychiatric/Mental Health Clinical Nurse Specialist 364SP0810X APRN9315757 FL
Psychiatric/Mental Health Nurse Practitioner 363LP0808X APRN9315757 FL Primary

Addresses

Primary practice location

1720 S Gadsden St
Tallahassee, FL 32301

Mailing address

1720 S Gadsden St
Tallahassee, FL 32301-5506
Phone (850) 576-4703

Other identifiers 1

IdentifierTypeStateIssuer
008829700MedicaidFL

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
I20170220000212 FL Practitioner - Nurse Practitioner 1850612458 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Plus Mental Health LLCGroup PAC ID 0143631226, 8 clinicians

Practice addresses (Care Compare)

1720 S Gadsden St
Tallahassee, FL 32301-5506
Phone 8505764073212

9292 Shoal Creek Dr
Tallahassee, FL 32312-4277
Phone (256) 374-2468

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ability Plus Mental Health LLC Psychiatric/Mental Health CurrentSince Aug 27, 2020 Accepting new patients
Bond Community Health Center, Inc. CurrentSince Jul 26, 2019 Accepting new patients
Bond Community Health Center, Inc. CurrentSince Jul 26, 2019 Accepting new patients

Locations

1720 S Gadsden St
Tallahassee, FL 32301
Phone (850) 576-4073

Interoperability endpoints

  • Direct secure messaging: anne.ananga.1@22459.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22459/brand/1/csg/1/fhir/r4

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701993600000",
    "number": "1740625433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 S GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323015506",
            "telephone_number": "850-576-4703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 S GADSDEN ST",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32301",
            "telephone_number": "850-576-4703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANGA",
        "first_name": "ANNE",
        "middle_name": "ADHIAMBO",
        "name_prefix": "Mrs.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2023-12-08",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "FL",
            "license": "APRN9315757",
            "primary": false
        },
        {
            "code": "364SP0810X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Psychiatric/Mental Health, Child & Family",
            "state": "FL",
            "license": "APRN9315757",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "FL",
            "license": "APRN9315757",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008829700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.