Individual provider Active NPI

Melissa Elizabeth Manuelli, MS, LCGC

  • Genetic Counselor (M.S.)
  • Tampa, FL
National Provider Identifier
1780333930
Registry record updated Mar 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Genetic Counselor (M.S.)Taxonomy code 170300000X
License
186 Issued in FL
Practice address
10920 McKinley Dr
Tampa, FL 33612-6471
Phone
(813) 745-3555
Fax
(813) 745-5445
NPI assigned
Mar 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Genetic Counselor (M.S.) 170300000X 186 FL Primary

Addresses

Primary practice location

10920 McKinley Dr
Tampa, FL 33612-6471

Mailing address

10920 McKinley Dr
Tampa, FL 33612-6471
Phone (813) 745-3555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
186FLMDGenetic Counselor (M.S.)

NPI Registry JSON

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

{
    "created_epoch": "1647993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647993600000",
    "number": "1780333930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10920 MCKINLEY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126471",
            "telephone_number": "813-745-3555",
            "fax_number": "813-745-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10920 MCKINLEY DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336126471",
            "telephone_number": "813-745-3555",
            "fax_number": "813-745-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANUELLI",
        "first_name": "MELISSA",
        "middle_name": "ELIZABETH",
        "credential": "MS, LCGC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-23",
        "last_updated": "2022-03-23",
        "certification_date": "2022-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "170300000X",
            "taxonomy_group": "",
            "desc": "Genetic Counselor, MS",
            "state": "FL",
            "license": "186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2022; 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.