Individual provider Active NPI

Kathryn A Kloss, PA-C

  • Medical Physician Assistant
  • Tampa, FL
National Provider Identifier
1063715092
Registry record updated Oct 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA9109393 Issued in FL
Practice address
1300 N West Shore Blvd Ste 240
Tampa, FL 33607-4629
Phone
(813) 636-8300
Fax
(813) 636-8301
NPI assigned
Dec 14, 2010
Last updated
Oct 13, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X MA054766 PA
Medical Physician Assistant 363AM0700X PA9109393 FL Primary

Addresses

Primary practice location

1300 N West Shore Blvd Ste 240
Tampa, FL 33607-4629

Mailing address

1300 N West Shore Blvd Ste 240
Tampa, FL 33607-4629
Phone (813) 636-8300

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL tampaneuropsychiatryllc.faiziahmed@139941.advancedmd-direct.com Direct

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
I20160523001818 FL Practitioner - Physician Assistant 6002097912 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Eric Weinstock MD PAGroup PAC ID 0143309922, 8 clinicians

Practice addresses (Care Compare)

1300 N W Shore Blvd
240 The Florida Psychiatric Center
Tampa, FL 33607-4629
Phone (813) 636-8300

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Global Health Choices LLC Past Accepting new patients
Center for Child and Adult Psychiatry LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: thefloridapsychiatriccenter.kathrynkloss@160033.advancedmd-direct.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697155200000",
    "number": "1063715092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 N WEST SHORE BLVD STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074629",
            "telephone_number": "813-636-8300",
            "fax_number": "813-636-8301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 N WEST SHORE BLVD STE 240",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336074629",
            "telephone_number": "813-636-8300",
            "fax_number": "813-636-8301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLOSS",
        "first_name": "KATHRYN",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2023-10-13",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054766",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9109393",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "tampaneuropsychiatryllc.faiziahmed@139941.advancedmd-direct.com",
            "affiliation": "N",
            "endpointDescription": "tampaneuropsychiatryllc.faiziahmed@139941.advancedmd-direct.com",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "603 S Boulevard Fl 2",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336062629",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.