Active NPI
Vernadeth Manuel, D.O.
- Internal Medicine Physician
- Temple Terrace, FL
National Provider Identifier
1902213648
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- OS14671
- Practice address
- 12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904 - Phone
- (813) 779-6303
- Fax
- (888) 977-1998
- NPI assigned
- Jul 15, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | OS14671 | FL | |
| Internal Medicine Physician | 207R00000X | OS14671 | FL | Primary |
Addresses
Primary practice location
12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Mailing address
12470 Telecom Dr Ste 100
Temple Terrace, FL 33637-0904
Phone (813) 779-6303
Other practice location 1
206 2nd St E
Bradenton, FL 34208-1042
Phone (941) 746-5111
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)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adventist Health System-Sunbelt Inc | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Sebring, FL
- NPI 1164698809
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1405382400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1902213648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12470 TELECOM DR STE 100",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12470 TELECOM DR STE 100",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370904",
"telephone_number": "813-779-6303",
"fax_number": "888-977-1998"
}
],
"practiceLocations": [
{
"address_1": "206 2nd St E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342081042",
"country_code": "US",
"telephone_number": "941-746-5111",
"fax_number": "941-845-4963",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANUEL",
"first_name": "VERNADETH",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-07-15",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "FL",
"license": "OS14671",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "OS14671",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.