Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Krista M. Tannery, PA-C

Individual provider Physician Assistant · NPI 1205166295

Krista M. Tannery, PA-C is a Physician Assistant in Tampa, Florida. Qualified in 2009, 17 years ago. Works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
17
Licensed in
WA
In the registry since
2010
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

12902 Usf Magnolia Dr
Tampa, FL 33612-9416
Phone: (813) 745-4673
Fax: (813) 449-8618
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 550 17th Ave, Seattle, WA 98122-5788 — (206) 386-4744

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA60112541 (WA)

Record details

NPI number1205166295
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 13, 2010
Last updated in NPPESMay 13, 2026
Certification dateMay 13, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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