MANATEE MEMORIAL
NPI 1013213065
Nurse Practitioner - Family in Bradenton, FL

NPI Status: Active since February 08, 2011

Contact Information

206 2ND ST E
BRADENTON, FL
ZIP 34208
Phone: (941) 745-7419

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  • Organization
  • Nurse Practitioner
  • Family
  • CLIA Number: 10D0025879
  • CLIA Cert. Type: Hospital
  • CLIA Exp. Date: 02-27-2027

About MANATEE MEMORIAL

This page provides the complete NPI Profile along with additional information for Manatee Memorial, a provider established in Bradenton, Florida operating as a Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1013213065 assigned on February 2011. The practitioner's primary taxonomy code is 363LF0000X with license number 9227132 (FL). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Erica Marie-tyne Disanto (Arnp-c)

NPI
1013213065
Provider Name
MANATEE MEMORIAL
Entity Type
Organization
Location Address
206 2ND ST E BRADENTON, FL 34208
Location Phone
(941) 745-7419
Mailing Address
2811 38TH AVE W BRADENTON, FL 34205
Mailing Phone
(941) 751-0559
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-08-2011
Last Update Date
02-08-2011
Code Navigator

A nurse practitioner (NP) like Manatee Memorial is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
9227132
License State
FL

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. ERICA MARIE-TYNE DISANTO

Authorized Official Title
ARNP-C
Authorized Official Phone
(941) 232-3355

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
10D0025879
Facility Type
Hospital
Certificate Effective Date
February 28, 2025
Certificate Expiration Date
February 27, 2027
Laboratory Director
DR. SILVIO S. TANEV
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Manatee Memorial on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1013213065, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 45. The final step is to find the difference between that total and the next multiple of ten (50 - 45 = 5).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
0
Unchanged
Pos 3
1
Doubled → 2
Pos 4
3
Unchanged
Pos 5
2
Doubled → 4
Pos 6
1
Unchanged
Pos 7
3
Doubled → 6
Pos 8
0
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
5
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 2 → 4 3 → 6 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 0 + 2 + 3 + 4 + 1 + 6 + 0 + 1 + 2 + 24 = 45

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 45 is 50. The difference is the calculated check digit.

50 - 45 = 5
This NPI is valid
The calculated check digit is 5, which matches the last digit of 1013213065.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Radiology (Diagnostic Radiology)
206 2ND ST E
BRADENTON, FL 34208
Radiology (Diagnostic Radiology)
206 2ND ST E
BRADENTON, FL 34208
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Emergency Medicine
206 2ND ST E
BRADENTON, FL 34208
Anesthesiology
206 2ND ST E
BRADENTON, FL 34208
Nurse Anesthetist, Certified Registered
206 2ND ST E
BRADENTON, FL 34208
Nurse Anesthetist, Certified Registered
206 2ND ST E
BRADENTON, FL 34208
Nurse Anesthetist, Certified Registered
206 2ND ST E
BRADENTON, FL 34208
Nurse Anesthetist, Certified Registered
206 2ND ST E
BRADENTON, FL 34208
Anesthesiology
206 2ND ST E
BRADENTON, FL 34208
Nurse Anesthetist, Certified Registered
206 2ND ST E
BRADENTON, FL 34208
Nurse Anesthetist, Certified Registered
206 2ND ST E
BRADENTON, FL 34208
Nurse Practitioner
206 2ND ST E
BRADENTON, FL 34208
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208
Pathology (Anatomic Pathology & Clinical Pathology)
206 2ND ST E
BRADENTON, FL 34208

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1013213065, enumerated as an "organization" on February 08, 2011.

The provider is located at 206 2ND ST E BRADENTON, FL 34208 and the phone number is (941) 745-7419.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.