Individual provider Active NPI

Daniel Alex Manning, APRN

  • Gerontology Nurse Practitioner
  • Tampa, FL
National Provider Identifier
1740764257
Registry record updated May 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
APRN11000190 Issued in FL
Practice address
3605 Madaca LN
Tampa, FL 33618-2048
Phone
(813) 777-1641
NPI assigned
Sep 20, 2018
Last updated
May 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X APRN11000190 FL
Gerontology Nurse Practitioner 363LG0600X APRN11000190 FL Primary

Addresses

Primary practice location

3605 Madaca LN
Tampa, FL 33618-2048

Mailing address

8924 Southbay Dr
Tampa, FL 33615-2770
Phone (904) 553-1218

Other identifiers 1

IdentifierTypeStateIssuer
AG08180016OtherAMERICAN ACADEMY OF NURSE PRACTITIONERS

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
I20190607001399 FL Practitioner - Nurse Practitioner 6507199486 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
V.J. Dilella, D.O., L.L.C.Group PAC ID 1951208057, 11 clinicians

Practice addresses (Care Compare)

703 Virginia St
Dunedin, FL 34698-6615
Phone (727) 734-4000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Bailey Family Care, Inc. CurrentSince Jan 10, 2023 Accepting new patients
V.J. Dilella, D.O., L.L.C. CurrentSince Sep 16, 2024 Accepting new patients
Pcma Palliative Division LLC CurrentSince Jan 1, 2026 Accepting new patients
Rehab RX Corp Past Accepting new patients

Locations

703 Virginia St
Dunedin, FL 34698
Phone (727) 734-4000

1839 Health Care Dr
Trinity, FL 34655
Phone (727) 312-4445

2000 Cliffmine Rd
Ste 500
Pittsburgh, PA 15275
Phone (724) 766-0025

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1537401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620864000000",
    "number": "1740764257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8924 SOUTHBAY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336152770",
            "telephone_number": "904-553-1218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 MADACA LN",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336182048",
            "telephone_number": "813-777-1641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANNING",
        "first_name": "DANIEL",
        "middle_name": "ALEX",
        "credential": "APRN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-20",
        "last_updated": "2021-05-13",
        "certification_date": "2021-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "FL",
            "license": "APRN11000190",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "FL",
            "license": "APRN11000190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN ACADEMY OF NURSE PRACTITIONERS",
            "identifier": "AG08180016",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.