Active NPI
Kimberly Papa
- Emergency Medicine Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- ME144366
- Practice address
- 655 W 8TH St
Jacksonville, FL 32209-6511 - Phone
- (904) 244-3817
- Fax
- (904) 244-5848
- NPI assigned
- Mar 23, 2017
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | TRN24686 | FL | |
| Emergency Medicine Physician | 207P00000X | ME144366 | FL | Primary |
Addresses
Primary practice location
655 W 8TH St
Jacksonville, FL 32209-6511
Mailing address
655 W 8TH St
Jacksonville, FL 32209-6511
Phone (904) 244-3817
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- University of Florida College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 553-7300
Hospital & facility affiliations
- Orlando Health Bayfront Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME144366 | FL | MD | Emergency Medicine Physician |
| TRN24686 | FL | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergency Physicians of St Petersburg PA | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Crossroads | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians of Pinellas PA | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| South Georgia Emergency Medicine Associates PC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
Locations
3070 Grand Ave
Pinellas Park, FL 33782
Phone (727) 553-7300
1800 66th St N
St Petersburg, FL 33710
Phone (727) 823-1234
701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
Organizations & group practices 6
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.
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1851726566
-
- Emergency Medicine Physician
- St Petersburg, FL
- NPI 1538858774
-
- Emergency Medicine Physician
- Pinellas Park, FL
- NPI 1023590056
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Thomasville, GA
- NPI 1386903649
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Petersburg, FL
- NPI 1154399749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490227200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1681171200000",
"number": "1033640818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-3817",
"fax_number": "904-244-5848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 W 8TH ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322096511",
"telephone_number": "904-244-3817",
"fax_number": "904-244-5848"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAPA",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-23",
"last_updated": "2023-04-11",
"certification_date": "2023-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "TRN24686",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME144366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.