Individual provider Active NPI

Tatiana Zucco, PA-C

  • Medical Physician Assistant
  • Sarasota, FL
National Provider Identifier
1932487568
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2507 Espanola Ave
Sarasota, FL 34239-4340
Phone
(941) 726-6223
NPI assigned
Aug 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA0110634 FL
Surgical Physician Assistant 363AS0400X
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2507 Espanola Ave
Sarasota, FL 34239-4340

Mailing address

2507 Espanola Ave
Sarasota, FL 34239-4340
Phone (941) 726-6223

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
I20171118000189 FL Practitioner - Physician Assistant 9133396500 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
79.55 of 100Reported as group
Improvement activities
40
Cost
39.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA0110634FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Dante Family Medicine LLC PastSince Apr 1, 2026 Accepting new patients
Personal Wellness Medicine, LLC PastSince Feb 7, 2021 Accepting new patients
Pain and Wellness Group 2 LTD Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3173/brand/1/csg/1/fhir/r4
  • Direct secure messaging: tatiana.zucco.pa.1@3173.direct.athenahealth.com

Organizations & group practices 5

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": "1312156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1932487568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2507 ESPANOLA AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394340",
            "telephone_number": "941-726-6223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2507 ESPANOLA AVE",
            "city": "SARASOTA",
            "state": "FL",
            "postal_code": "342394340",
            "telephone_number": "941-726-6223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUCCO",
        "first_name": "TATIANA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-08-01",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA0110634",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sarasota, FL

Sources for this page

Verify at the official NPI Registry.